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This is VAERS ID 276147

Case Details

VAERS ID: 276147 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-01
Onset:2007-03-01
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:35
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Bacterial culture negative, Culture negative, Microbiology test, Virus culture negative, Vulval disorder
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Fever
Allergies:
Diagnostic Lab Data: diagnostic microbiology 03/07 culture and sensitivity of the lesions are negative for bacterial, fungal and viral infections
CDC Split Type: WAES0703USA00727

Write-up: Information has been received from a nurse practitioner concerning a 15 year old female with a history of fever of 102.5 degree a week prior to being vaccinated who on 01-MAR-2007 was vaccinated with Gardasil. In March 2007, soon after vaccination with Gardasil, the patient developed labia lesions. The patient was not sexually active. On 05-MAR-2007, the patient was seen for an office visit. The lesions were cultured and sensitivity of the lesions were negative for bacterial, fungal and viral infections. As of 05-MAR-2007, the patient''s labia lesions persisted. Additional information has been requested.


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