National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 322230

Case Details

VAERS ID: 322230 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Michigan  
Vaccinated:2008-02-06
Onset:2008-08-04
   Days after vaccination:180
Submitted: 2008-08-14
   Days after onset:10
Entered: 2008-08-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1063U / 3 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2365AA / 1 RA / UN

Administered by: Other       Purchased by: Public
Symptoms: Rash, Skin lesion
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? Yes
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: In 2/08 was on Concerta; not now.
Current Illness: None Rash x 1 week.
Preexisting Conditions: NKDA; NSVD; ? Bipolar; NDKS
Allergies:
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


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=322230


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166