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This is VAERS ID 279051

Case Details

VAERS ID: 279051 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Arizona  
Vaccinated:2007-03-01
Onset:2007-03-02
   Days after vaccination:1
Submitted: 2007-10-08
   Days after onset:219
Entered: 2007-05-17
   Days after submission:144
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA00592

Write-up: Information has been received from a health professional concerning a female consumer who in March 2007, was vaccinated with Gardasil. In March 2007, the patient experienced petechiae rash all over her body within 24 hours after receiving the first dose of Gardasil. No medical attention was required. This is one of two reports received from the same source. Additional information has been requested. This is in follow-up to report(s) previously submitted on 05/14/2007. Information has been received from a licensed practical nurse concerning a female patient who in March 2007, "past few weeks," was vaccinated with GARDASIL. Within 24 hours the patient developed a petechiae rash all over her body. No treatment was required. This is one of two reports received from the same source. Additional information is not expected.


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