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This is VAERS ID 272308

Case Details

VAERS ID: 272308 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-29
Onset:2006-12-29
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:97
Entered: 2007-02-15
   Days after submission:49
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 1 UN / UN

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0701USA01079

Write-up: Information has been received from a physician concerning an 18 year old female with pertinent medical history and drug reaction/allergies not reported who on 29-DEC-2006 was vaccinated with the first dose of Gardasil (Lot #654885/1424F), injection, 0.5ml. Concomitant medication was not reported. ON 29-DEC-2006, the patient developed hives within hours of receiving the first dose of Gardasil. The physician reported that the hives became more generalized within 24 hours. On 29-DEC-2006, therapy with human papillomavirus vaccine was discontinued. Subsequently on an unspecified date, the patient recovered from hives. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician concering his daughter an 18 year old female with pertinent medical history and drug reactions/allergies not reported who on 29-DEC-2006 was vaccinated with the first dose of GARDASIL (lot #654885/1424F), injection, 0.5 mL. Concomitant medication was not reported. On 29-DEC-2006, the patient developed hives at the injection site within hours of receiving the first dose of GARDASIL. The physician reported that "the hives became more generalized within 24 hours" and the patient "then developed hives on her trunk and knee the next day." On 29-DEC-2006, therapy with human papillomavirus vaccine was discontinued. Subsequently 48 hours after the vaccination, the patient recovered from hives. Additional information has been requested.


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