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This is VAERS ID 267428

Case Details

VAERS ID: 267428 (history)  
Age: 21.0  
Gender: Female  
Location: Delaware  
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:54
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: UNK
Current Illness: Penicillin allergy; Sulfonamide allergy
Preexisting Conditions: Hypersensitivity reaction
Diagnostic Lab Data: UNK
CDC Split Type: WAES0610USA08303

Write-up: Information has been received from a nurse concerning a 21 year old female with a history of an allergic reaction to penicillin and sulfonamide who on 21-SEP-2006 was vaccinated with HPV. On 21-SEP-2006, following vaccination, the patient broke out in hives all over her upper body particularly in the face, chest, and arms. Unspecified medical attention was sought. Subsequently, the patient recovered on 26- SEP-2006. Additional information has been requested.

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