National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271128

Case Details

VAERS ID: 271128 (history)  
Form: Version 1.0  
Age: 51.0  
Gender: Female  
Location: Florida  
   Days after vaccination:0
Submitted: 2007-01-16
   Days after onset:36
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Drug hypersensitivity, Face oedema, Lip swelling, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Anaphylactic reaction (broad), Angioedema (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: HYPERSENSITIVITY
Diagnostic Lab Data: NONE
CDC Split Type: WAES0612USA02952

Write-up: Information has been received from a registered nurse concerning a 51 year old female with an allergy to benzoyl peroxide who on 11-Dec-2006 was vaccinated intramuscularly with the first dose of Gardasil vaccine (yeast). Concomitant therapy included Yasmin. On 14-Dec-2006 the patient began to experience muscle aches, and on 17-Dec-2006 the patient began experiencing swelling of her face and lips, but no rash. The patient treated herself with Benadryl and was scheduled to see her physician on 18-Dec-2006. At the time of this report, the muscle aches and swelling of her face and lips persisted. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166