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This is VAERS ID 280232

Case Details

VAERS ID: 280232 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: California  
   Days after vaccination:1
Submitted: 2007-06-01
   Days after onset:20
Entered: 2007-06-04
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 2 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Cold compress therapy, Heat therapy, Nausea, Paraesthesia, Pruritus generalised
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness:
Preexisting Conditions: Drug hypersensitivity
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA03807

Write-up: initial and follow up information has been received from a registered nurse, concerning a 19 year old female student with allergy to codeine, who was vaccinated with a first dose of (date not specified) Gardasil with no reported problems, and on 11-MAY-2007 at 10:30am was vaccinated with the second dose of Gardasil (Lot #657617/0384U). Concomitant therapy included ORTHO TRI-CYCLEN. On 12-MAY-2007 the patient started feeling nauseous; on 13-MAY-2007, she started feeling a tingly sensation in her shoulder, neck and scapula (reported by patient''s phone call on 14-MAY-2007); she was instructed to alternate between hot and cold packs every 20 minutes and was prescribed MOTRIN 800mg, every 6-8 hours as treatment. On approximately 15-MAY-2007 ("later"), she experienced itching all over her body (reported by patient''s phone call on 21-MAY-2007). The nurse reported that by 21-MAY-2007, the patient had completely recovered from all the symptoms. Follow up information indicated that the reporter considered one or more of the events to require medical intervention to prevent more serious symptoms, and were therefore considered to be other significant medical events. No further information is expected.

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