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This is VAERS ID 269231

Case Details

VAERS ID: 269231 (history)  
Age: 17.0  
Gender: Female  
Location: Missouri  
Vaccinated:2006-09-01
Onset:2006-11-21
   Days after vaccination:81
Submitted: 2006-12-14
   Days after onset:23
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Face oedema
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:
Preexisting Conditions: UNK
Diagnostic Lab Data: NONE
CDC Split Type: WAES0611USA07529

Write-up: Information has been received from a nurse in a physician''s office concerning a 17 year old female who in approximately September 2006, was vaccinated with the second 0.56ml dose of HPV vaccine. On 21 Nov 2006, the patient developed swelling of lips and swelling of face. The patient sought unspecified medical attention. On 22 Nov 2006 within 24 hours, the patient had recovered from the events. Additional information has been requested.


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