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This is VAERS ID 277000

Case Details

VAERS ID: 277000 (history)  
Age: 17.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-01-22
Onset:2007-01-22
   Days after vaccination:0
Submitted: 2007-04-19
   Days after onset:86
Entered: 2007-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Oedema peripheral
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: advair/albuteral inhaler
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: within on half hour of administration hand, feet were red and swollen lasted several hours School nurse cooroborated, patient not seen in office by about 6 hours symptoms were gone


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