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This is VAERS ID 283769

Case Details

VAERS ID: 283769 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Feeling hot, Injection site rash, Vaccine positive rechallenge
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0705USA01146

Write-up: Information has been received from a health professional concerning a female who was vaccinated, intramuscularly in the arm, with Gardasil. Subsequently, the patient developed a site rash and experienced a warm feeling throughout her body approximately a half hour after receiving the second vaccination. The patient experienced a similar reaction after the first vaccination. Subsequently, the patient recovered. Additional information has been requested.


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