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This is VAERS ID 273116

Case Details

VAERS ID: 273116 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Minnesota  
Vaccinated:2007-02-20
Onset:2007-02-20
   Days after vaccination:0
Submitted: 2007-02-22
   Days after onset:2
Entered: 2007-02-27
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2168CA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Vestibular disorders (broad), 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metronidazole 100 mg/day
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: symptoms started 2-20-07 at 7pm. 1st noticed bumps on arms. She now has hives on her abdomen, face, neck and arms. She also felt faint at times.


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