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This is VAERS ID 272082

Case Details

VAERS ID: 272082 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Utah  
   Days after vaccination:3
Submitted: 2007-02-09
   Days after onset:12
Entered: 2007-02-12
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / IM

Administered by: Public       Purchased by: Private
Symptoms: Fatigue, Injection site pain, Pruritus, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), 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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC Split Type: WAES0702USA00410

Write-up: Information has been received from a Nurse Practitioner concerning a 19 year old white female who on 25-JAN-2007 was vaccinated intramuscularly with Gardasil (lot number not provided). On 28-JAN-2007 the patient experienced injection site pain and fatigue and developed pruritus and hives on her whole body. The patient was seen on an unspecified date by her primary care physician (contact information not provided) and treated with Vistaril 50 mg, PO every 6 hours and "comfort measures". On an unspecified date the patient was considered to have recovered from the hives, injection site pain and fatigue. The reporter considered the pruritus and hives to be serious other medical events. Additional information has been requested.

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