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This is VAERS ID 279513

Case Details

VAERS ID: 279513 (history)  
Age: 15.0  
Gender: Female  
Location: California  
Vaccinated:2007-04-12
Onset:2007-04-13
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:31
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Body temperature increased, Eye swelling, Eyelid oedema, Fatigue, Pyrexia, Rash, Swelling face, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: body temp 04/20?/07 102
CDC Split Type: WAES0704USA05020

Write-up: Information has been received via The Poison Control Center and from a consumer concerning her daughter, a 15 year old female, who on 12-APR-2007 was vaccinated with Gardasil. It was reported that on Friday, 13-APR-2007 and over the weekend, the patient experienced being very tired and developed puffy eyes. On May, approximately, 16-APR-2007, the patient''s eyelids started getting puffier. On Tuesday, approximately 17-APR-2007, it was reported that the patient had increased puffiness of eyelids. On Wednesday, 18-APR-2007 the patient developed face swollen and was seen by ("ENT"). On Friday, 20-APR-2007 the patient was seen by the primary care physician (PCP) and had developed rash and hives. At the time of the report, the patient had a fever of 102 and increased rash and hives. It was recommended that the patient go to the Emergency Room (ER) for an evaluation. At the time of the report, it was unknown, if the patient recovered. Additional information has been requested.


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