This is VAERS ID 279917
| Days after vaccination:||0
| Days after onset:||4
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0181U / 0
||LA / IM
Administered by: Private Purchased by: Public
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? Yes
Other Medications: Depo Provera (given 5/7/07)
Current Illness: no
Preexisting Conditions: LSIL PAP on 11-15-06.
Diagnostic Lab Data: none
CDC Split Type:
Write-up: Patient received Gardasil dose #1 Friday(5/25/07) and developed pinpoint, intensely pruritic rash on thighs to knees. Did not extend up onto trunk, did not extend below knees. Presented to clinic this afternoon (first day open after holiday) with concern.
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