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This is VAERS ID 272347

Case Details

VAERS ID: 272347 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:49
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 1 UN / -

Administered by: Private       Purchased by: Private
Symptoms: Rash
SMQs:, Anaphylactic reaction (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type: WAES0701USA02336

Write-up: Information has been received from a registered nurse concerning a 19 year old female who on 27-DEC-2006 was vaccinated in the arm (unspecified) with the first dose of Gardasil (lot #654885/1424F). There was no concomitant medication. On 24-DEC-2006, the patient developed a rash up and down both arms. The patient''s rash was treated with Benadryl. Subsequently, after three days, the patient recovered from the rash. It was reported that the event did not require an emergency room/doctor visit. Additional information is not expected.

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