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 / 3
||LA / IM
|MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR
||U2365AA / 1
||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
Birth Defect? No
Permanent Disability? Yes
Office Visit? No
ER Visit? No
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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