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This is VAERS ID 267426

Case Details

VAERS ID: 267426 (history)  
Age: 15.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2006-11-14
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0610USA06214

Write-up: Information has been received from a physician concerning her 15 year old daughter who was vaccinated with HPV. Subsequently, the patient experienced red dots/rashes on her ankles, elbows, and buttocks. Subsequently, the patient recovered from red dots/rashes on ankles, elbows, and buttocks. Therapy with HPV was not re-introduced. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a physician concerning her approximately 18 year old student daughter (previously reported as her 15 year old daughter) who was vaccinated with a first dose of GARDASIL. Subsequently, 48-72 hours after the first dose, the patient experienced red dots/rashes on her ankles, elbows, and buttocks, also reported as an itchy rash on ankles and abdomen. The patient was treated successfully with BENADRYL and recovered from red dots/rashes on ankles, elbows, and buttocks, also reported as an itchy rash on ankles and abdomen within 24 hours. Before the second dose of GARDASIL, the patient was pre-medicated with CLARITIN. No rash or other adverse experience was noted. Additional information is not expected.


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