| Days after vaccination:||0
| Days after onset:||32
| Days after submission:||2
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||0955F / 0
||LA / IM
Administered by: Private Purchased by: Private
Upper respiratory tract infection,
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? Yes
Other Medications: Oral immunotherapy SLIT
Current Illness: NONE
Preexisting Conditions: Premature twin, environmental allergies.
Diagnostic Lab Data:
CDC Split Type:
Write-up: 12/01/2006 Nausea, headache, urticaria 12/04/2006. URI symptoms developed after rash. Treated with Benadryl, Prednisone, and Zyrtec. Phone call 1 week later, rash completely gone, urticaria due to vaccine VS intercurrent URI.