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This is VAERS ID 279156

Case Details

VAERS ID: 279156 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: California  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:3
Entered: 2007-05-21
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Rash
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Vestibular disorders (broad), 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:
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: After patient received injection she began feeling dizzy sat for approximately 10 minutes felt fine and went home. Later developed rash on knees and legs. Mom gave her Benadryl and resolved. This is in follow-up to report (s) previously submitted on 6/14/2007. Information has been received from a nurse practioner, concerning a 17 year old white female who on 10-May-2007 was vaccinated IM, with the first dose GARDASIL. Following the vaccination, the patient felt dirty while still in the physician''s office, she sat down for 10 minutes and was fine. Later that day, 10-May-2007, she developed a rash on her legs; treament with BENADRYL brought relief of the rash "off and on" at different locations. At the time of this report, the outcome of the rash was unknown. Additional information is not expected.

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