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This is VAERS ID 278663

Case Details

VAERS ID: 278663 (history)  
Age: 20.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-03
Onset:2006-11-06
   Days after vaccination:3
Submitted: 2007-05-15
   Days after onset:189
Entered: 2007-05-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private       Purchased by: Military
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), 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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Broke out with hives 3 days after vaccination which lasted for approximately 3 weeks


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