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This is VAERS ID 275181

Case Details

VAERS ID: 275181 (history)  
Age: 26.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-21
Onset:2007-03-23
   Days after vaccination:2
Submitted: 2007-03-29
   Days after onset:6
Entered: 2007-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: seasonal allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received 1st dose of Gardasil on 3/21/07 no co''s voiced at time of injection. On Friday evening 3/23/07 patient noted face to be red and swollen, symptoms disappeared after 2 hours. On Monday 3/26/07, pateint noted same red, swollen face after ingesting glass of white wine with dinner, again symptoms lasted about 2 hours. Patient did not take any other medication during this time frame, nor had she used any new soaps/make up.


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