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This is VAERS ID 265013

Case Details

VAERS ID: 265013 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Kentucky  
Vaccinated:2006-10-09
Onset:2006-10-16
   Days after vaccination:7
Submitted: 2006-10-17
   Days after onset:1
Entered: 2006-10-20
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Headache, Injection site reaction, Pruritus, Thermal burn
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Lexapro, Effexor, Yasmin, HCTZ, Elmiron, Parida Plus, Claritin.
Current Illness:
Preexisting Conditions: Sulfa Allergy, Hypertension, Intestinal cystitis.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Localized reaction at injection site right del itching and burning beginning 7 day post injection, also headache. Txd symptoms with Benadryl, Tylenol, Hydrocortisone cream.


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