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This is VAERS ID 284404

Case Details

VAERS ID: 284404 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: New York  
   Days after vaccination:55
Submitted: 2007-07-09
   Days after onset:123
Entered: 2007-07-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Private       Purchased by: Unknown
Symptoms: Blood test, Eczema, Psoriasis, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: CONCERTA, YAZ birth control pills (daily)
Current Illness: Severe angry, red, itchy scaly rash, exhaustion
Preexisting Conditions: Asthma, ADHD
Diagnostic Lab Data: Blood tests, dermatologic diagnosis
CDC Split Type:

Write-up: 3-4 weeks after her Gardasil shot (#1) She began exhibiting a rash which escalated over the next 5-6 weeks until she was covered with psoriasis and eczema on her arms (upper and lower), her legs (upper and lower), tops of her feet and hands, her neck, and slightly on her torso, body and face.

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