This is VAERS ID 279489
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / -
||UN / UN
Administered by: Other Purchased by: Other
Symptoms: Adverse event,
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA03994
Write-up: Information has been received from a pharmacist concerning a patient who was vaccinated with Gardasil. Subsequently the patient experienced an unspecified adverse experience. No further information was provided. Additional information has been requested.
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