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This is VAERS ID 270358

Case Details

VAERS ID: 270358 (history)  
Age: 12.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2007-01-09
Onset:2007-01-09
   Days after vaccination:0
Submitted: 2007-01-10
   Days after onset:1
Entered: 2007-01-11
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM

Administered by: Private       Purchased by: Private
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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270358


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