The following is all the information available on report# VAERS_ID: 745117
Vaccine(s) were received on 03/11/2016
Vaccine(s) were received in the state: GA
At the time of vaccination, patient was : 18 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N
Vaccine(s) were received in the state: GA
At the time of vaccination, patient was : 18 of age
Patient sex : M
Reaction was life threatening?: N
Patient eventually recovered from reaction ?: N
Patient eventually died?: N
The following Lab Data for this case is available: None
The following Data for this patients HISTORY is available: mild intermittent asthma
The following Data for this patients ALLERGIES is available: [tree nuts; PHENERGAN ]
Description of adverse reaction: Patient states he developed severe eczema after having vaccine.
Vaccine(s) associated with report# 745117
| Type | Name | Manufacturer | Vaccine LOT # | Dose Series | ROUTE | Site |
|---|---|---|---|---|---|---|
| HPV9 | HPV (GARDASIL 9) | MERCK & CO. INC. | L023230 | 2 | IM | LA |