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This is VAERS ID 280259

Case Details

VAERS ID: 280259 (history)  
Age: 12.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-02-26
Onset:2007-02-27
   Days after vaccination:1
Submitted: 2007-06-04
   Days after onset:96
Entered: 2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cheilitis, Lip blister, Oral herpes
SMQs:, Oropharyngeal infections (narrow)

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

Write-up: Mom stated red lips 24 hours post injection. Mom stated fever blisters around lips 48 hours post injection. Mom called md today; Doctor, who stated not to give second vaccine.


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