National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 273976

Case Details

VAERS ID: 273976 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: South Dakota  
Vaccinated:2007-02-14
Onset:2007-02-27
   Days after vaccination:13
Submitted: 2007-03-14
   Days after onset:14
Entered: 2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Oedema peripheral, Pain, Pruritus, Skin tightness
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: Ortho-tryclen Lo
Current Illness: none
Preexisting Conditions: allergies to cedar wood products & Demerol
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: erythema, pruritis, edema of palms, soles, fingertips, Pain with flexion of fingers, skin taut & shiny. symptoms started 2/27/07 continued though 3/1/07. Treated with ibuprofen 200 mg two tabs every 4-6 hours and diphenhyrdamine 25 mg at bedtime.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273976


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