This is VAERS ID 276241
| Days after submission:||3
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|HPV4: HPV (GARDASIL) / MERCK & CO. INC.
||- / 1
||UN / UN
Administered by: Other Purchased by: Other
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Other Medications: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA02267
Write-up: Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a patient who was vaccinated with a first dose of Gardasil. Patient developed hives within 2-3 hours of receiving the injection. The patient''s outcome was unknown. Additional information has been requested.
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