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This is VAERS ID 276139

Case Details

VAERS ID: 276139 (history)  
Gender: Female  
Location: Florida  
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Herpes simplex, Herpes virus infection

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00664

Write-up: Information has been received from a physician concerning a female patient who was vaccinated on an unspecified date with her second dose of Gardasil. Approximately a week later, the patient developed herpetic appearing lesions located on the perivulva and/or gynecological area. The patient was diagnosed with type 1 herpes simplex. The patient''s outcome was known. No further information is available.

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