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This is VAERS ID 273750

Case Details

VAERS ID: 273750 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Idaho  
Vaccinated:2007-03-08
Onset:2007-03-08
   Days after vaccination:0
Submitted: 2007-03-09
   Days after onset:1
Entered: 2007-03-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1249F / 1 LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Pruritus generalised, Rash maculo-papular
SMQs:, Anaphylactic reaction (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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthocyclen
Current Illness: None
Preexisting Conditions: Allergy to sulfa
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient started intching, mostly on trunk, last night; woke up itching all over and has rash (fine maculopapular rash) all over; given hydroxyzine for itching;


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