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This is VAERS ID 274468

Case Details

VAERS ID: 274468 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:1
Submitted: 2007-03-16
   Days after onset:1
Entered: 2007-03-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243V / 1 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair PRN
Current Illness: NONE
Preexisting Conditions: Asthma, Seasonal allergies (dogs and horses per mom)
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hives on arm (not at injection site) on hands and feet-resolving.

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