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This is VAERS ID 276233

Case Details

VAERS ID: 276233 (history)  
Age:   
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-03-06
Onset:2007-03-07
   Days after vaccination:1
Submitted: 2007-04-06
   Days after onset:29
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
CDC Split Type: WAES0703USA01345

Write-up: Information has been received from a nurse practitioner concerning a female who on 06-MAR-2007 was vaccinated with the first IM dose of Gardasil. On 07-MAR-2007 the patient experienced rash on her neck. The reporter felt that rash on her neck was not related to Gardasil. Patient outcome was unknown. Additional information has been requested.


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