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This is VAERS ID 279703

Case Details

VAERS ID: 279703 (history)  
Age: 26.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-02-19
Onset:2007-02-28
   Days after vaccination:9
Submitted: 2007-03-08
   Days after onset:8
Entered: 2007-05-25
   Days after submission:77
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site induration, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rash, hives that spread up back and buttock - Has hard knot at injection site.


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