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This is VAERS ID 276262

Case Details

VAERS ID: 276262 (history)  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-25
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2007-04-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Angioedema, Dyspnoea, Rash, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: No previous history of urticaria
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed severe urticaria and angioedema starting about 24-48 hours after getting HPV vaccine (First dose). Patient had two E.R. visits. Needs high dose steroids to control angioedema of throat. Problem lasted ten days. 5/1/07 Received med records from ER visit which reveals patient experienced rash on hip area which spread to extremities. Exam revealed urticarial rash on extemities & trunk. Initially had mild SOB & tightening of throat. Pt had recent DepoProvera injection as well as Gardisil. Tx w/antihistamine & prednisone & d/c to home. ALLERGIES: Augmentin & sulfa FINAL DX: Urticaria.


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