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This is VAERS ID 279640

Case Details

VAERS ID: 279640 (history)  
Age: 11.0  
Gender: Female  
Location: Florida  
   Days after vaccination:25
Submitted: 2007-05-14
   Days after onset:35
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Culture, Laboratory test, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: diagnostic laboratory - results not reported, throat culture - results not reported
CDC Split Type: WAES0704USA06523

Write-up: This is in follow-up to report (s) previously submitted on 5/14/2007. Information has been received from a physician concerning a 11 year old female who on 15-MAR-2007 was vaccinated with GARDASIL (lot # 655619/1427F). On 09-APR-2007 the patient experienced a erythematous rash that spread from the injection site down one arm and then to the other arm. Medical attention was sought. The patient had unspecified blood work and had throat culture (results not reported). Subsequently, the patient recovered from rash. Additional information has been requested.

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