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This is VAERS ID 279900

Case Details

VAERS ID: 279900 (history)  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-16
Onset:2007-05-14
   Days after vaccination:28
Submitted: 2007-05-17
   Days after onset:3
Entered: 2007-05-29
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 - / -

Administered by: Unknown       Purchased by: Unknown
Symptoms: Auricular swelling, Blood albumin normal, Blood creatinine normal, Blood electrolytes normal, Blood urea normal, Erythema, Full blood count normal, Joint swelling, Pruritus, Red blood cell sedimentation rate normal, Serum sickness, Swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall XR 15mg 1 daily
Current Illness:
Preexisting Conditions: History ADHD on Adderall
Diagnostic Lab Data: CBC, Sed Rate, Lytes, BUN, Creat, Albumin WNL 5/15/07 records received 6/7/07-CBC and SED rate normal.
CDC Split Type:

Write-up: Pt developed swollen L/S spine and bilateral knees, as well as swollen bilateral ears. Also hives on antecubital fossae and popliteal fossae. L/S spine and knees, as well as ears were red and pruritic. Diagnosed serum sickness. 06/07/07-records received:4/16/07 Continues to be ADD symptomatic, increased Adderall XR. On 5/14/07 complained of pain on tailbone, knees, associated with swelling, erythema. Lesions and swelling on lower lip and left ear. Joints are painful and itchy. Bilateral knees edematous, red and warm to touch and somewhat tender. Full range of motion. Left elbow edematous, red and warm to touch and somewhat tender. 5/17/07 Questionable serum sickness. Return visit responsed to steroids. 5/18/07-complained of itchy with wheels on arms and face. 5/29/07-continues to break out in hives in evening only. To see allergist.


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