This is VAERS ID 309086
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| VAERS ID: | 309086 (history) | Vaccinated: | 2007-12-05 | | Age: | 17.0 | Onset: | 2007-12-06, Days after vaccination: 1 | | Gender: | Female | Submitted: | 2008-04-08, Days after onset: 123 | | Location: | Illinois | Entered: | 2008-04-08 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: none | | Current Illness: denies | | Preexisting Conditions: none | | Diagnostic Lab Data: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) | UNKNOWN MANUFACTURER | 15522U | 1 | IM | LA | |
| Administered by: Unknown Purchased by: Unknown | Symptoms: Injection site erythema,
Injection site pain,
Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
| | Write-up: Left arm sore with a red bumpy rash that extended down the arm. Patient states that rash lasted for one month. Did not call our office to report adverse reaction. Immunization administered was Gardasil #2. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=309086
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