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This is VAERS ID 277126

Case Details

VAERS ID: 277126 (history)  
Age: 17.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-03-02
Onset:2007-03-02
   Days after vaccination:0
Submitted: 2007-04-22
   Days after onset:50
Entered: 2007-04-20
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / - LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site urticaria, Reaction to previous exposure to any vaccine
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sertraline
Current Illness: None
Preexisting Conditions: Anorexia
Diagnostic Lab Data:
CDC Split Type:

Write-up: Immediately after 3rd GARDASIL shot she developed an approx 4 inch red/warm wheal at the injection site. This same reaction occurred years earlier with the 2nd MMR. Follow-up - Pt age 17 years - Checked in Box, none of the above. Record updated.


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