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This is VAERS ID 273207

Case Details

VAERS ID: 273207 (history)  
Age: 12.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-12-28
Onset:2006-12-28
   Days after vaccination:0
Submitted: 2007-02-28
   Days after onset:62
Entered: 2007-02-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness: NONE reported
Preexisting Conditions: NKDA; no birth defects; no medical conditions
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2-27-07 Patient stated "I had redness in my right arm that went down to right hand and knuckles, then it started in left arm and hand it was very itchy. Started 30-45 min after injection given.


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