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This is VAERS ID 273852

Case Details

VAERS ID: 273852 (history)  
Age: 18.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-02-26
Onset:2007-02-27
   Days after vaccination:1
Submitted: 2007-03-07
   Days after onset:8
Entered: 2007-03-13
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00116 / 0 LA / -

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

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

Write-up: Patient had Gardasil (1st injection of series) on 2/26/07 10:00 am, 24 hours later developed pink rash on arms. torso and neck. Patient complain of itching, denies using any new meds or products. Patient came in for OV with doctor, was given Medrol dose pack.


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