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This is VAERS ID 269346

Case Details

VAERS ID: 269346 (history)  
Age: 21.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-22
Onset:2006-11-26
   Days after vaccination:4
Submitted: 2006-12-19
   Days after onset:23
Entered: 2006-12-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Allergies-Anox, penicillin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itching of entire body 4-5 days after vaccination on 11/22/06. Has continued on and off since then.


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