National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273565

Case Details

VAERS ID: 273565 (history)  
Age: 20.0  
Gender: Female  
Location: Indiana  
Vaccinated:2007-03-07
Onset:2007-03-07
   Days after vaccination:0
Submitted: 2007-03-07
   Days after onset:0
Entered: 2007-03-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

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

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: demulen, ketek, aquatab
Current Illness: dry skin
Preexisting Conditions: allergy Tetracycline record received 3/9/07-prior HX tetracycline allergy.
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Within 1 hour of receiving vaccination she developed diffuse urticaria. responded to injected benadryl and depomedrol. 03/09/07-records received. for DOS 3/7/07-developed whole body hives and itching, chest felt heavy. Current medication Ketek. PE: WNL except for confluent hives on arms


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273565


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166