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This is VAERS ID 276900

Case Details

VAERS ID: 276900 (history)  
Age: 23.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-02-05
Onset:2007-02-26
   Days after vaccination:21
Submitted: 2007-04-13
   Days after onset:45
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Blister, Vulval disorder
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04925

Write-up: Information has been received from a nurse practitioner concerning a 23 year old female who on 05-FEB-2007 was vaccinated with a first dose of Gardasil (lot# 655618/1427F). On 26-FEB-2007 the patient experienced three separate "vulvar-type blisters" which were "slightly raised" with a white, plaque-like surface. The patient was re-examined on 12-Mar-2007, and the above lesions had completely resolved. No product quality complaint was involved. Additional information has been requested.


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