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This is VAERS ID 272593

Case Details

VAERS ID: 272593 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Georgia  
Submitted: 2007-02-14
   Days after onset:20
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? No
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: UNK
CDC Split Type: WAES0701USA04778

Write-up: Information has been received from a physician concerning a 21 year old female on antibiotics for condition unspecified, and pertinent medical history and drug reactions/allergies unspecified who on approximately 29-JAN-2007 was vaccinated with first dose of Gardasil (lot # not reported) IM. Concomitant suspect therapy included Antimicrobial (unspecified). The physician reported that the patient sought medical attention (called the office) to report that she had hives (on approximately 25-JAN-2007). The patient had been on antibiotics for a couple of days prior to receiving Gardasil. The physician felt the hives may be related more to the antibiotics than the vaccine. The outcome of the hives was unspecified. no further information was available at the time of reporting. Additional information has been requested.

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