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This is VAERS ID 276756

Case Details

VAERS ID: 276756 (history)  
Age: 12.0  
Gender: Female  
Location: California  
Vaccinated:2007-02-28
Onset:2007-02-28
   Days after vaccination:0
Submitted: 2007-04-18
   Days after onset:48
Entered: 2007-04-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 024EU / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Urticaria
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: Penicillin Allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urticaria on lower arm after HPV immunization


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