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This is VAERS ID 281668

Case Details

VAERS ID: 281668 (history)  
Age: 20.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-06
Onset:2007-06-08
   Days after vaccination:2
Submitted: 2007-06-08
   Days after onset:0
Entered: 2007-06-14
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 2 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Urticaria, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), 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: hives~HPV (Gardasil)~1~19.00~In Patient
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Developed generalized hives this AM (6/8/07) Rx with Benadryl, per mom - same thing occurred 1 wk after HPV #1 and HPV #2


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