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This is VAERS ID 276919

Case Details

VAERS ID: 276919 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Oregon  
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:23
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Condition aggravated, Headache, Pruritus, Skin irritation, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA05325

Write-up: Information has been received from a receptionist in the physician''s office and a Certified Nurse Midwife (CNM) concerning a 20 year old female patient with a history of prior contact dermatitis, hive reaction who on 26-FEB-2007, at 11:00 AM was vaccinated with a first dose of Gardasil. On 26-FEB-2007 at 11:15 AM she broke out in hives after the injection. The patient came back to office within about 15 minutes after getting the injection with some itchiness, some small red hive areas, with rubbing, the hives then extended. They were on both of patient''s wrists, on her neck, and her right chest wall, patient had no papules and she appeared coherent. She was given immediately 50mg of liquid BENADRYL. The patient came back to the office in one hour and she had no hives. She had a residual headache from the experience that was persisting at the time of this report. The patien planned to go home early and stated her boy friend would be home in the afternoon to check on her periodically to monitor for any signs of reaction. The reporter plan to contact the vaccine adverse event reporting system, to get some recommendation on whether or not they should continue the second and third injection. The reporter thought that hives and itchiness were other important medical event. Additional information is not expected.

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