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This is VAERS ID 276897

Case Details

VAERS ID: 276897 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: South Carolina  
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:98
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Skin exfoliation
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Adhesive tape allergy; Elastoplast allergy
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA04839

Write-up: Information has been received from a registered nurse concerning an 18 year old female with a history of adhesive tape allergy and elastoplast allergy who on 03-JAN-2007 was vaccinated IM with her first dose of Gardasil (Lot#654450/1162F). There was no concomitant medication. On 04-JAN-2007 the patient experienced peeling skin on the pale side of her fingers on both hands. The patient did seek unspecified medical attention. There were no laboratory diagnostics performed. Subsequently, the patient recovered in about 1 week from peeling skin on the palm side of her fingers on both hands. Additional information has been requested.

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