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This is VAERS ID 283772

Case Details

VAERS ID: 283772 (history)  
Age: 13.0  
Gender: Female  
Location: Michigan  
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. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Genital ulceration
SMQs:, Severe cutaneous adverse reactions (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA01211

Write-up: Information has been received from an infectious disease physician concerning an approximately 13 year old female who was vaccinated with Gardasil. Subsequently the patient experienced genital ulcers 24 hours after the vaccination. The patient sought medical attention. Additional information has been requested.


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