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This is VAERS ID 274201

Case Details

VAERS ID: 274201 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:102
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (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: albuterol, Zyrtec, Flovent
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0702USA01375

Write-up: Information has been received from a physician concerning a 16 year old female with asthma who in December 2006, was vaccinated with the first dose of Gardasil. Concomitant therapy included FLOVENT, albuterol and ZYRTEC. In December 2006, a few hours following vaccination with Gardasil, the patient experienced itchiness and redness of her face. The patient sought unspecified medical attention. Subsequently on an unspecified date, the patient recovered from itchiness and redness of her face. Additional information has been requested.

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