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This is VAERS ID 279492

Case Details

VAERS ID: 279492 (history)  
Age: 24.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-12
Onset:2007-04-12
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:32
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Rash, Reaction to previous exposure to any vaccine
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0704USA04053

Write-up: Information has been received from a 24 year old female who on an unspecified date, was vaccinated with her first dose of Gardasil. Subsequently the patient experienced rash that went up from her arm to her shoulders. On 12-APR-2007 was vaccinated with her second dose of Gardasil. On 12-APR-2007 the patient experienced rash that went up from her arm to her shoulders. Subsequently, the patient recovering. Additional information has been requested.


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