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This is VAERS ID 278589

Case Details

VAERS ID: 278589 (history)  
Age: 25.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-09
Onset:2007-05-11
   Days after vaccination:2
Submitted: 2007-05-15
   Days after onset:4
Entered: 2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / - RL / UN

Administered by: Private       Purchased by: Private
Symptoms: Mouth ulceration
SMQs:, Severe cutaneous adverse reactions (broad), Systemic lupus erythematosus (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No
Preexisting Conditions: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed 2 Ulcers in mouth. one on top of the tongue. Second on right side of tongue


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