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This is VAERS ID 283778

Case Details

VAERS ID: 283778 (history)  
Age: 21.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-30
Onset:2007-05-01
   Days after vaccination:1
Submitted: 2007-06-14
   Days after onset:44
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: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA01317

Write-up: Information has been received from an approximately 21 year old female who on 30-APR-2007 was vaccinated with Gardasil. There was no concomitant medication. On 01-MAY-2007 the patient experienced small bumps which spread across her upper torso (not red or itchy) approximately 12 hours after her 1st dose. As of 05-MAY-2007, the patient was not recovered. At the time of this report, the patient had not sought medical attention. No further information is available.


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