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This is VAERS ID 282664

Case Details

VAERS ID: 282664 (history)  
Age: 24.0  
Gender: Female  
Location: New York  
Vaccinated:2007-06-18
Onset:2007-06-18
   Days after vaccination:0
Submitted: 2007-06-18
   Days after onset:0
Entered: 2007-06-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site discolouration, Injection site rash
SMQs:, Hypersensitivity (narrow)

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

Write-up: Fine unraised pink rash immediately after Gardasil injection on her right deltoid. Rash resolved in 10 minutes. No other complaints. #3 Gardasil - No prior reactions.


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