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This is VAERS ID 274169

Case Details

VAERS ID: 274169 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-03-16
   Days after onset:2
Entered: 2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 2 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Injection site swelling, Rash generalised, Similar reaction on previous exposure to drug, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Received Gardasil #2, developed swelling around injection site after 2-5 minutes. That evening she developed hives on body and extemities-Mom gave Benadryl. Rash subsided but left side of face swollen but improved later in the day. 2 months ago 1st Gardasil given; she developed hives. Mom thought it was due to other allergies. Has been getting all over rash and swollen face since then.

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