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This is VAERS ID 282941

Case Details

VAERS ID: 282941 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-06-26
Onset:2007-06-26
   Days after vaccination:0
Submitted: 2007-06-27
   Days after onset:1
Entered: 2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 3 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Blister
SMQs:, Severe cutaneous adverse reactions (broad), Hypersensitivity (broad)

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: Desogen
Current Illness: none known
Preexisting Conditions: none known
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: blisters both upper arms and upper back that began approx 4 hours after injection...pt says the blisters went away and recurred today


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