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This is VAERS ID 279675

Case Details

VAERS ID: 279675 (history)  
Age:   
Gender: Female  
Location: Texas  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   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: Rash generalised
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: Unknown
CDC Split Type: WAES0705USA00500

Write-up: Information has been received from a physician, via a company representative, concerning a female patient, who was vaccinated (date unspecified) with a dose, 0.5ml, of Gardasil. The physician reported that the patient "experienced a full body rash," after the vaccination (date unspecified). At the time of this report, it was unknown if the patient had recovered. The patient sought unspecified medical attention. Additional information has been requested.


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