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This is VAERS ID 276934

Case Details

VAERS ID: 276934 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:3
Submitted: 2007-04-13
   Days after onset:54
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Erythema, Malaise, Rash
SMQs:, Anaphylactic reaction (broad), 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: Unknown
Current Illness: Sulfonamide allergy; Allergic reaction to antibiotics
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA05680

Write-up: Information has been received from a registered nurse concerning a 24 year old female with sulfonamide allergy and allergic reaction to antibiotics who on 14-FEB-2007 was vaccinated intramuscularly with Gardasil (yeast) (0.5 ml). On 17-FEB-2007 the patient developed facial redness, malaise and an intermittent widespread rash. The patient was evaluated at a local emergency room and prescribed a course of steroids. The patient was not hospitalized. The patient fully recovered (date unspecified). Additional information has been requested.

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