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This is VAERS ID 283773

Case Details

VAERS ID: 283773 (history)  
Age: 15.0  
Gender: Female  
Location: Unknown  
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Rash generalised
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hepatitis B virus vaccine
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA01218

Write-up: Information has been received from a nurse practitioner concerning a female in her "mid teens" who, on an unspecified date, was vaccinated with Gardasil. Concomitant therapy included hepatitis B virus vaccine (unspecified). Subsequently the patient developed a rash all over her body. The patient went to the emergency room but hospitalization is unspecified. Subsequently, the patient recovered from the rash all over her body. Additional information has been requested. The product quality complaint unit was not involved.

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