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This is VAERS ID 267483

Case Details

VAERS ID: 267483 (history)  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2006-10-30
Onset:2006-10-30
   Days after vaccination:0
Submitted: 2006-11-14
   Days after onset:15
Entered: 2006-11-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / UN

Administered by: Private       Purchased by: Private
Symptoms: Ocular hyperaemia, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Glaucoma (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: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0611USA00732

Write-up: Information has been received from a nurse concerning an 18 year old female who on 30-OCT-2006 was vaccinated with the first dose of GARDASIL. On 30-OCT-2006 the patient developed a "rash on the palm of her hand and also red, itchy eyes." The patient sought unspecified medical attention. The nurse reported that the patient had recently purchased new eye makeup. At the time of this report, the outcome of the events were unknown. Additional information has been requested. 04/06/2007 This is in follow-up to report(s) previously submitted on 11/14/2006. Initial and follow up information has been received from a nurse concerning an 18 year old female student with no pre-existing medical conditions and no known allergies reported. On 30-OCT-2006, at approximately 9:30 AM, the patient was vaccinated with the first dose of GARDASIL (Lot# 653650/0702F). There were no illnesses noted at the time of vaccination. On 30-OCT-2006, at 11:00 AM, the patient developed swollen eyes and rash to hands and feet (previously reported as a "rash on the palm of her hand" and also red, itchy eyes). The patient sought unspecified medical attention. The patient reported that she had a new makeup product applied several days around the injection. The patient went to the school clinic after the onset of symptoms. The patient was treated with ALLEGRA and the symptoms improved in approximately 24 hours. On 31-OCT-2006, the patient had recovered from the events. Additional information has been requested.


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