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This is VAERS ID 263754

Case Details

VAERS ID: 263754 (history)  
Age: 26.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-09-25
Onset:2006-09-25
   Days after vaccination:0
Submitted: 2006-09-25
   Days after onset:0
Entered: 2006-09-29
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site warmth, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BUSPAR, ATIVAN, CELEXA
Current Illness: NONE
Preexisting Conditions: Penicillin
Diagnostic Lab Data: took two BENADRYL
CDC Split Type:

Write-up: Hives on neck and chest, injection site red, warm to touch, itching at area and on palms of hands.


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