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This is VAERS ID 274220

Case Details

VAERS ID: 274220 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-01-26
Onset:2007-01-26
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:46
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site pruritus, Pruritus generalised
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? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA02449

Write-up: Information has been received from a consumer concerning her 18 year old old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated with her first dose of HPV. Concomitant therapy included hormonal contraceptives (unspecified). On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with Benadryl. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow-up information has been received from a physician and a consumer concerning her 18 year old daughter with no pertinent medical history who on 26-JAN-2007 was vaccinated intramuscularly, into the left arm, with her first dose of GARDASIL (lot 654540/1161F). Concomitant therapy included YASMIN. On 26-JAN-2007 the patient experienced itching at the injection site that developed into full body itching. Medical attention was sought. The patient was treated with BENADRYL. There were no laboratory or diagnostic tests performed. At the time of the report, the patient had not recovered. Her second dose was scheduled for 23-MAR-2007. Additional information is not expected.


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