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This is VAERS ID 270260

Case Details

VAERS ID: 270260 (history)  
Age: 26.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2006-11-15
Onset:2006-11-17
   Days after vaccination:2
Submitted: 2007-04-06
   Days after onset:139
Entered: 2007-01-09
   Days after submission:86
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Urticaria
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: UNK
CDC Split Type: WAES0612USA00981

Write-up: Information has been received from a physician concerning a female patient who was vaccinated IM with a first dose of Gardasil (yeast). Subsequently, the patient developed a few hives in the upper abdominal area. It was noted that the patient plans to continue with the vaccine series by getting the second and third dose as recommended. Unspecified medical attention was sought. On 04 Dec 2006, the patient recovered. No product quality complaint was involved. Additional informatio has been requested. This is in follow-up to report (s) previously submitted on 1/5/2007. Information has been received from a physician concerning a 26 year old female patient who on 15-NOV-2006 was vaccinated IM into the left deltoid with a first dose of GARDASIL (lot # 653938/0954F). On 17-NOV-2006, the patient developed a few hives in the upper abdominal area. It was noted that the patient plans to continue with the vaccine series by getting the second and third dose as recommended. The patient was treated with BENADRYL. On 04-DEC-2006, the patient recovered. No product quality complaint was involved. The physician stated that it was highly unlikely that hives were from the vaccine because hives developed 48 hours later. Additional information is not expected.


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