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This is VAERS ID 279159

Case Details

VAERS ID: 279159 (history)  
Age: 16.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-07
Onset:2007-05-08
   Days after vaccination:1
Submitted: 2007-05-21
   Days after onset:13
Entered: 2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 LA / IM

Administered by: Private       Purchased by: Private
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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Noticed within 24 hours of injection itchy rash - joints - armpit - elbows - knees - ankles - stomach.


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