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This is VAERS ID 276834

Case Details

VAERS ID: 276834 (history)  
Age:   
Gender: Female  
Location: Alabama  
Vaccinated:2007-03-19
Onset:2007-03-19
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:25
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Rash generalised
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA03891

Write-up: Information has been received from a physician concerning a female patient who on 19-MAR-2007 was vaccinated with a dose of Gardasil. After receiving the injection the patient developed a rash that extended from head to toe. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested.


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