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This is VAERS ID 279433

Case Details

VAERS ID: 279433 (history)  
Age: 14.0  
Gender: Female  
Location: New York  
Vaccinated:2007-05-16
Onset:2007-05-17
   Days after vaccination:1
Submitted: 2007-05-21
   Days after onset:4
Entered: 2007-05-23
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Laboratory test, 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: allergic rhinitis, allergen to ragweed pollen, mites and house dust
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urticarial rash began about 24 hours after vaccines were given patient also had bloodwork drawn after receiving her vaccine. Patient returned to office 2 days after vaccine was given; rash improved with Benadryl somewhat completely improved with Atarax.


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