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This is VAERS ID 269692

Case Details

VAERS ID: 269692 (history)  
Age: 18.0  
Gender: Female  
Location: Florida  
Vaccinated:2006-11-22
Onset:2006-11-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2006-12-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Abasia, Chills, Pain, Rash, Rash macular, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (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: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: complete blood count, PT/PTT
CDC Split Type:

Write-up: The patient presented to the ER complained of rash, pain, swelling to lower extremities bilaterally. She had developed a maculopapular rash after the vaccination. She was discharged home on Percoat/Prednisone. Chills and unable to walk.


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