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This is VAERS ID 411090

Case Details

VAERS ID: 411090 (history)  
Age: 24.0  
Gender: Female  
Location: Missouri  
Vaccinated:2010-11-16
Onset:2010-11-30
   Days after vaccination:14
Submitted: 2010-12-02
   Days after onset:2
Entered: 2010-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 LA / IJ

Administered by: Private       Purchased by: Other
Symptoms: Herpes zoster, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Mono Nessa (Birth Control) and Pre Natal Vitamins
Current Illness: None
Preexisting Conditions: No
Diagnostic Lab Data: Saw doctor at Urgent Care and he diagnosed Shingles.
CDC Split Type: Gardasil2ndof3shots

Write-up: Noticed pain and Rash on back. Went to Dr. at 6pm on 12/1/2010 and was diagnosed with Shingles. I am being treated with Valtrex twice a day for 5 days.


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