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This is VAERS ID 271695

Case Details

VAERS ID: 271695 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Rhode Island  
   Days after vaccination:4
Submitted: 2007-02-05
   Days after onset:3
Entered: 2007-02-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011UEXP21MAR09 / 1 - / IM

Administered by: Private       Purchased by: Other
Symptoms: Hypersensitivity, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoxetine, Zometa, Trisprintec
Current Illness: NONE
Preexisting Conditions: Depression, No prior allergies
Diagnostic Lab Data: Allergic reaction, unspecified
CDC Split Type:

Write-up: Patient complained of itchy rash on legs/arms for 3-4 days. She presented 2 days after the shot with raised hives on legs, feet and hands. She was placed on Medrol dose pack, Atarax, 100 1 qd

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