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This is VAERS ID 279653

Case Details

VAERS ID: 279653 (history)  
Form: Version 1.0  
Gender: Female  
Location: Louisiana  
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:22
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Injection site rash, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZYRTEC
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA00068

Write-up: Information has been received from a physician via a company representative concerning a female patient who on 21-APR-2007 was vaccinated IM in the deltoid with a first dose of Gardasil. Concomitant therapy included Zyrtec. On 22-APR-2007 the patient went out in the sun and experienced rash on her legs and on the arm she was given the injection. It was noted the that the rash was not itchy and lasted a couple of days before resolving completely. Unspecified medical attention was sought. Additional information has been requested.

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