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This is VAERS ID 272889

Case Details

VAERS ID: 272889 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-02-21
   Days after onset:9
Entered: 2007-02-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

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: NONE
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA02754

Write-up: Information has been received from a nurse practitioner concerning a 17 year old female with penicillin allergy who on 12-FEB-2007 was vaccinated with Gardasil 0.5ml intramuscularly (lot number 653736/0014U). There was no concomitant medication. On 12-FEB-2007, 45 to 60 minutes post vaccination, the patient called the physician''s office stating that she had hives on her arms and legs. The treatment was Benadryl. On 13-FEB-2007, the patient was seen at the physician''s office and still had hives on her arms and legs but no shortness of breath. No other treatment was given. The hives were improving. Hives on arms and legs were considered an other important medical event. Additional information has been requested.

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