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This is VAERS ID 283994

Case Details

VAERS ID: 283994 (history)  
Age: 17.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-06-27
Onset:2007-06-27
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2007-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2223AA / 0 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Mild URI x 2 days Prior
Preexisting Conditions: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Generalized urticaria within 2 hours of vaccinations, lasted $g1 week.


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