This is VAERS ID 322230
| Days after vaccination:||180
| Days after onset:||10
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||1063U / 2
||LA / IM
|MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR
||U2365AA / 0
||RA / UN
Administered by: Other Purchased by: Public
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? Yes
ER or Doctor Visit? No
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Diagnostic Lab Data: LABS: CBC & ESR WNL.
CDC Split Type:
Write-up: Left outer leg rash/lesion. Mother stated rash same appearance as seen on tv for rash reaction to immunization. 8/26/08 Reviewed PCP medical records of 8/4/2008. FINAL DX: vascular rash Records reveal patient experienced left outer leg & back rash x 1 week. Received Hep A & Varicella vaccines tha
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