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This is VAERS ID 278363

Case Details

VAERS ID: 278363 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-05-09
Onset:2007-05-09
   Days after vaccination:0
Submitted: 2007-05-10
   Days after onset:1
Entered: 2007-05-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 3 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin-D
Current Illness: none
Preexisting Conditions: seasonal allergies
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Non-pruritic purple macules on bilateral inner thighs several hours after 3rd injection. No side effects with previous injections. No new irritants used. Symptoms persisting over 24 hours. No treatment used.


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