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This is VAERS ID 283840

Case Details

VAERS ID: 283840 (history)  
Age: 23.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-27
Onset:2007-06-27
   Days after vaccination:0
Submitted: 2007-06-28
   Days after onset:1
Entered: 2007-07-05
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0961F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Rash, Skin warm, Swelling face, Urticaria
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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: B complex tabs, Yasmin, Lactaid, Topicort
Current Illness: None
Preexisting Conditions: Lactose intolerance, environmental allergen, Xerosis
Diagnostic Lab Data:
CDC Split Type:

Write-up: Warmth, swelling, rash of face within minutes of receiving HPV vaccine. Reported there signs and symptoms about 2 hours later. Appearance at time of RX facial redness, swelling, urticaria. Treated with Benadryl PO, Prednisone PO, ranitidine PO.


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