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This is VAERS ID 271607

Case Details

VAERS ID: 271607 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-01-29
Onset:2007-01-30
   Days after vaccination:1
Submitted: 2007-02-01
   Days after onset:2
Entered: 2007-02-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Pruritus, Rash, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: itching, swelling and hivelike rash with bumps on face the 1st day. next day, rash over face, neck, chest, upper arms. worse with exposure to cold air. resolved after warming about 15-20 min 1st day. 2nd day resolved with benadryl 25mg x 1.


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