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This is VAERS ID 272301

Case Details

VAERS ID: 272301 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Kentucky  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:40
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / 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
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: hormonal contraceptives
Current Illness: Nervousness
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00872

Write-up: Information has been received from a physician concerning a 20 year old female who on 05-JAN-2007 was vaccinated intramuscularly with the first dose of Gardasil (yeast). Concomitant therapy included hormonal contraceptives (unspecified). The physician reported that the patient was extremely nervous about getting the shot. Later that evening, within 12 hours, the patient broke out in hives. The physician told the patient to go to the emergency room (ER). The patient went to the ER and was given BENADRYL for the hives. The physician reported that the patient was fine, but does not plan to give the patient anymore shots. There was no lot number provided. At the time of this report, it was noted that the patient was "fine after she had received BENADRYL. Additional information has been requested.

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