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This is VAERS ID 273817

Case Details

VAERS ID: 273817 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-02-26
Onset:2007-02-26
   Days after vaccination:0
Submitted: 2007-03-12
   Days after onset:13
Entered: 2007-03-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 1 LA / -

Administered by: Other       Purchased by: Other
Symptoms: Burning sensation, Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: Psoriasis
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Within 1/2 hr of receiving injection pt complained of face itching. Within 1 hour face and neck burning red and itchy. Given Benadryl at school. Slept several hours, still complaining of itching when she woke up. Resolved without further treatment.


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