This is VAERS ID 284580
| Days after submission:||4
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / UNK
||UN / UN
Administered by: Other Purchased by: Other
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA01455
Write-up: Information has been received from a physician concerning a 15 year old female who was vaccinated with a dose of Gardasil. Subsequently, the patient developed bad rash. The patient visited an urgent care center for unspecified treatment. The patient''s outcome was unknown. Additional information has been requested. This is one of two reports received from the same source.
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