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This is VAERS ID 271124

Case Details

VAERS ID: 271124 (history)  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:2006-12-07
Onset:2006-12-07
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:40
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0612USA02801

Write-up: Information has been received from a physician concerning a female (NOS) who on approximately 07-Dec-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (lot# not provided). Immediately after receiving the injection on approximately 07-Dec-2006 the patient developed hives in the same arm where she received the injection. The patient sought unspecified medical attention. At the time of this report it was unknown if the patient had recovered from the hives.


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