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This is VAERS ID 278339

Case Details

VAERS ID: 278339 (history)  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-19
Onset:2007-04-19
   Days after vaccination:0
Submitted: 2007-04-19
   Days after onset:0
Entered: 2007-05-10
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - - / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: allergies none, birth defects none, Med - dysfunctional uterine bleeding
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Itchy rash all over lower body, reported by patient only. Neither parent nor physician was shown the rash.


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