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This is VAERS ID 274295

Case Details

VAERS ID: 274295 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Colorado  
Vaccinated:2006-10-20
Onset:2006-10-22
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:143
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN
Current Illness: Sulfonamide allergy
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA03446

Write-up: Information has been received from a physician concerning a 23 year old female with sulfonamide allergy and no pertinent medical history who on 20-OCT-2006 was vaccinated with Gardasil. Concomitant therapy included YASMIN. On 22-OCT-2006, 48 hours after receiving the immunization, the patient developed itching without a visible rash. The patient sought unspecified medical attention. No laboratory tests were performed. The itching persisted for 3 weeks. At the time of reporting, the patient had recovered from the itching on approximately 10-NOV-2006. No other information was available at the time of reporting. Additional information has been requested.


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