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This is VAERS ID 277195

Case Details

VAERS ID: 277195 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Alaska  
   Days after vaccination:0
Submitted: 2007-04-18
   Days after onset:1
Entered: 2007-04-23
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 2 LA / -

Administered by: Public       Purchased by: Other
Symptoms: 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Paroxetine, Nasonex
Current Illness: Allergic Rhinitis
Preexisting Conditions: Allergic Rhinitis, Anxiety NOS, ADHD
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient developed hives on her arm and then on trunk approximately 3 hours after administration of 2nd HPV vaccine.

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