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This is VAERS ID 271117

Case Details

VAERS ID: 271117 (history)  
Age:   
Gender: Female  
Location: California  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-01-16
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Allergy to vaccine
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Papilloma viral infection
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0612USA02604

Write-up: Information has been received from a physician concerning a female (age not reported) who was "positive for one strain of papilloma viral infection". On an unspecified date, the patient was vaccinated intramuscularly with the first "single dose vial" of Gardasil vaccine (yeast). Subsequently, the patient developed an "allergic reaction". The patient was sought unspecified medical attention. The patient was treated with a "steroid dose pack". At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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