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This is VAERS ID 283982

Case Details

VAERS ID: 283982 (history)  
Age: 24.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-04-09
Onset:2007-04-09
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:66
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / - UN / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site rash
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03109

Write-up: Information has been received from a health professional concerning a female with sulfonamide allergy who was vaccinated with Gardasil. The nurse reported that the patient experienced a really bad injection site rash. No further information was provided. Additional information has been requested. This is in follow-up to report (s) previously submitted on 6/14/2007.


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