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This is VAERS ID 275562

Case Details

VAERS ID: 275562 (history)  
Form: Version 1.0  
Age: 23.0  
Gender: Female  
Location: Maine  
Vaccinated:2007-03-30
Onset:2007-04-03
   Days after vaccination:4
Submitted: 2007-04-03
   Days after onset:0
Entered: 2007-04-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 2 LA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Local reaction, 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: mIRENA iud
Current Illness: NO
Preexisting Conditions: CODEINE,SULFA,CEFZIL
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: LOCAL REACTION WITH URTICARIA


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