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This is VAERS ID 279525

Case Details

VAERS ID: 279525 (history)  
Age: 20.0  
Gender: Female  
Location: Texas  
Vaccinated:2006-08-01
Onset:2006-08-01
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:286
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private       Purchased by: Private
Symptoms: Scar, Skin discolouration
SMQs:, Hypotonic-hyporesponsive episode (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04711

Write-up: Information has been received from a nurse concerning a 20 year old white female student who in August 2006, was vaccinated with a first dose of Gardasil. In August 2006, the patient developed discoloration and circular scarring. In November 2006, the patient was vaccinated with a second dose of Gardasil. At the time of the report, the patient''s outcome was unknown. No further information is available.


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