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This is VAERS ID 276647

Case Details

VAERS ID: 276647 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-02-09
Onset:2007-02-09
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:62
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 - / -

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Inappropriate schedule of drug administration, Injection site mass, Pruritus
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Medication errors (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: OMNICEF, ZYRTEC, cough, cold, and flu therapies, TOBRADEX
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA01529

Write-up: Information has been received from a 21 year old female with no pertinent medical history and no history of drug reactions/allergies who on 09-FEB-2007 was vaccinated with first dose of Gardasil (yeast ) (lot # not reported) injection. Concomitant therapy included cefdinir (OMNICEF), cetirizine hydrochloride (ZYRTEC), dexamethasone/tobramycin (TOBRADEX), cough, cold, and flu therapies ("VIGRAMOX") and antihistamine (unspecified). On 09-MAR-2007, the patient was vaccinated with second dose of Gardasil (yeast) (lot # not reported) injection. No concomitant therapy at the time of receiving the second dose of the vaccine. On approximately 09-FEB-2007, following the first injection, the patient experienced slight redness and itching which were gone by the next day (approximately 10-FEB-2007). Medical attention was sought. Also she had a "hard bump" at the injection site which lasted for approximately two weeks (approximately 23-FEB-2007) before going away. The hard bump felt like a knot in her skin. On 09-MAR-2007, the patient received second injection of Gardasil vaccine only one month after the first dose. At the time of reporting, she has not had any adverse experience following the second injection of vaccine. Additional information has been requested.


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