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This is VAERS ID 273909

Case Details

VAERS ID: 273909 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Ohio  
   Days after vaccination:0
Submitted: 2007-03-13
   Days after onset:7
Entered: 2007-03-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Eye infection, Eye swelling, Face and mouth X-ray normal, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Ocular infections (narrow), 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: hormonal contraceptives
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: nasal sinus X-ray 03/05/07 - negative
CDC Split Type: WAES0703USA01199

Write-up: Information has been received from a physician concerning a 17 year old female who on 05-MAR-2007 was vaccinated IM with the first dose of Gardasil. Concomitant therapy included hormonal contraceptives (unspecified). On 05-MAR-2007, two hours post-vaccination, the patient developed swollen eyes and face and went to an emergency room. The patient underwent sinus films, which were noted to be negative, and was administered BENADRYL and unspecified antibiotics for a possible eye infection. The patient was released that same evening. On 07-MAR-2007, the physician contacted the patient and reported that there was "not much improvement." The patient''s swollen eyes and face persisted. Eye and face swelling were reported as other important medical events. Additional information has been requested.

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