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This is VAERS ID 278992

Case Details

VAERS ID: 278992 (history)  
Age: 18.0  
Gender: Female  
Location: South Dakota  
Vaccinated:2007-01-29
Onset:2007-01-31
   Days after vaccination:2
Submitted: 2007-05-16
   Days after onset:104
Entered: 2007-05-18
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Pruritus, 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: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Noted to have hives around lip / lower trunk area, walnut size, reddened, raised - c/o itching - took Zyrtec 10mg.


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