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This is VAERS ID 283528

Case Details

VAERS ID: 283528 (history)  
Age: 16.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-06-05
Onset:2007-06-12
   Days after vaccination:7
Submitted: 2007-06-26
   Days after onset:14
Entered: 2007-07-02
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site reaction
SMQs:

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

Write-up: 4 x 4 cutaneous reaction at site of HPV injection.


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