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This is VAERS ID 280259

Case Details

VAERS ID: 280259 (history)  
Form: Version 1.0  
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 / 1 LA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
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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