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This is VAERS ID 279567

Case Details

VAERS ID: 279567 (history)  
Age: 26.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-16
Onset:2007-03-16
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:59
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Pruritus, Throat tightness
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), 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: ZYRTEC
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA06014

Write-up: Information has been received from a pharmacist concerning a 26 year old female who on 16-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant therapy included ZYRTEC. On 16-MAR-2007 the patient experienced itching and the sensation that her throat was closing up after taking an unspecified antihistamine. Medical attention was sought. Additional information has been requested.


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