This is VAERS ID 274374
| Days after vaccination:||7
| Days after onset:||55
| Days after submission:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||1427F / 0
||LA / IM
Administered by: Private Purchased by: Private
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Permanent Disability? No
ER or Doctor Visit? No
Other Medications: ORTHO TRICYCLEN
Preexisting Conditions: Neurofibromytosis
Diagnostic Lab Data:
CDC Split Type:
Write-up: Pt received vaccine/GARDASIL 1/15/07. One week later, developed hives which lasted one week. Pt treated with BENADRYL for symptoms relief. Follow-up information received - Date of vaccination and Adverese event onset date.
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