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This is VAERS ID 270265

Case Details

VAERS ID: 270265 (history)  
Age: 9.0  
Gender: Female  
Location: Georgia  
Vaccinated:2006-10-10
Onset:2006-10-20
   Days after vaccination:10
Submitted: 2007-04-06
   Days after onset:168
Entered: 2007-01-09
   Days after submission:86
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Alopecia, Hypotrichosis
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA01074

Write-up: Information has been received from a licensed practical nurse concerning a 9 year old female with no pertinent medical history or drug reactions/allergies, who on 05 Sept 2006 and 03 Nov 2006 was vaccinated with the first and second doses of Gardasil (lot 653735/0688F). There was no concomitant medication. Subsequently the patient experienced thinning of hair or alopecia. Unspecified medical attention was sought. At the time of this report the patient had not recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 1/5/2007. Initial and follow-up information has been received from a licensed practical nurse concerning a 9 year old female with no pertinent medical history or drug reaction/allergies, who on 10-OCT-2006 was vaccinated intramuscularly with the first dose of GARDASIL (0.5 ml) (lot # 653735/0688F). There was no concomitant medication. Subsequently, approximately ten days after vaccination on approximately 20-OCT-2006, the patient''s mother noticed a balding spot behind the patient''s ear. The patient used a steroid cream on the area and had an appointment with a dermatologist. It was reported that the patient has some hair re-growth but not in the whole area. The patient''s mother was unsure about the completion of the recommended vaccine schedule. No further information is expected.


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