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This is VAERS ID 270301

Case Details

VAERS ID: 270301 (history)  
Age: 19.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-15
Onset:0000-00-00
Submitted: 2007-01-08
Entered: 2007-01-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), 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:
Diagnostic Lab Data:
CDC Split Type: WAES0701USA00254

Write-up: Information has been received from a nurse practitioner concerning a 19 year old female who on 15 Dec 2006 was vaccainted with her first dose of HPV Vaccine. Subsequently the patient experienced welts on her legs, itching and redness of her injection site arm. The patient was treated with BENADRYL, and she recovered. The patient sought unspecified medical attention. The reporter considered the patient''s welts on her legs, itching and redness of her injection site arm to be other important medical events. Additional information has been requested.


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