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This is VAERS ID 272352

Case Details

VAERS ID: 272352 (history)  
Age: 26.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-01-15
Onset:2007-01-15
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:30
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Corticosteroids (unspecified); Hormonal contraceptives
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0701USA02393

Write-up: Initial an dfollow up information has been received from a physicia''s assistant and a 26 year old female with a drug hypersensitivity to tetracycline, prochlorperazine maleate (COMPAZINE) and doxycycline and no other pertinent medical history reported. On 15-JAN-2007, at 8:03 AM, the patient was vaccinated intramuscularly in the right deltoid with the first dose of GARDASIL vaccine (Lot# 655165/1425F). Concomitant therapy included a "steroid shot" and unspecified hormonal contraceptives. On 15-JAN-2007, the patient developed a terrible rash. The patient sought unspecified medical attention. At the time of this report, the patient had not recovered from the event. Additional information has been requested. This is in follow-up to report previously received on 2/14/2007. There were no illnesses noted at the time of vaccination. That same day, the patient developed a terrible rash. On 16-JAN-2007, the patient went to the emergency room and was treated with unspecified steroids. On 17-JAN-2007, the patient followed up with the physician assistant and there was no significant rash noted at the time. At the time of this report, the patient had recovered fromthe event (date unknown). Additional information has been requested.


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