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This is VAERS ID 279259

Case Details

VAERS ID: 279259 (history)  
Age: 15.0  
Gender: Female  
Location: New York  
Vaccinated:2007-03-26
Onset:2007-03-26
   Days after vaccination:0
Submitted: 2007-05-18
   Days after onset:53
Entered: 2007-05-22
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 12/08F / 0 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Injection site urticaria, Tremor, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

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

Write-up: Pt became shaky, with hives on left arm at injection site and spread to R arm and chest.


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