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This is VAERS ID 279646

Case Details

VAERS ID: 279646 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Iowa  
Vaccinated:2007-04-09
Onset:2007-04-10
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:34
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 1 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Throat irritation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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: Unknown
Current Illness: Sulfonamide allergy; Rash
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA06799

Write-up: Information has been received from a nurse practitioner and a licensed practical nurse concerning a 15 year old, female, student with no illness at time of vaccination with Bactrim allergy, rash who on 09-APR-2007 at 2:00 p.m. was vaccinated intramuscularly with the first dose of Gardasil, (Lot #656049/0187U). It was reported that at 8:00 a.m. on 10-APR-2007, the patient had ''a tickly feeling in her throat - which caused her to clear her throat, constantly. It was reported that the patient''s "tickly feeling in her throat" which caused to clear her throat, constantly, went away after twenty four hours. It was reported that there was no soreness to the injection site noted. The patient sought unspecified medical attention. Additional information has been requested.


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