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This is VAERS ID 275070

Case Details

VAERS ID: 275070 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-02
Onset:2007-03-13
   Days after vaccination:11
Submitted: 2007-03-13
   Days after onset:0
Entered: 2007-03-28
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01880 / 2 - / IM

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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Othrotrecyclen Lo
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Day after receiving Guardasil noted hives throughout body which increased over weekend. Prescribed Keflex and Benadryl.


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