VAERS ID: 262070

AGE: 25| SEX: F|STATE: TX (United States)

Description

Patient developed a fine, red rash over torso and legs with itching reported on8/22/2006.

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Symptoms

Rash, Pruritus

Vaccines

VAX DATE: 08-14-2006| ONSET DATE: 08-22-2006| DAYS TO ONSET: 8
NameDose #TypeManufacturerLotRouteSite
HPV (GARDASIL) 1 HPV4 MERCK & CO. INC. 0637F IM RA

RECVDATE:08-24-2006
RPT_DATE:08-24-2006
CAGE_YR:25
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:OrthoTricyclen-Lo
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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