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This is VAERS ID 283985

Case Details

VAERS ID: 283985 (history)  
Age: 20.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-04-30
Onset:2007-05-04
   Days after vaccination:4
Submitted: 2007-06-14
   Days after onset:41
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03122

Write-up: Information has been received from a physician, via a company representative, concerning a female patient in her 20''s, who on 30-APR-2007 was vaccinated IM in the deltoid, with a 0.5ml dose of Gardasil. On 04-MAY-2007, "four days post vaccination," the patient developed "red, itchy hives at the injection site." At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


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