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This is VAERS ID 283962

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283962
Age:17.0
Gender:Female
Location:Wisconsin
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Rash

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: None
CDC 'Split Type': WAES0705USA02886

Write-up:Information has been received from a physician, via a company representative, concerning a 17 year old female patient, who on approximately 14-MAR-2007 ("approximately 2 months ago"), was vaccinated with the first dose of Gardasil (dose not specified). The day following the vaccination, the patient called the physician to report she had developed a rash on her arm, though not at the injection site, as well as on other parts of her body. The patient presented to the office 2 or 3 days later, and a cream (unspecified) was prescribed as treatment. At the time of this report, it wan unknown if the patient had recovered from the rash. Additional information has been requested.


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