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This is VAERS ID 284086

Case Details

VAERS ID: 284086 (history)  
Age: 16.0  
Gender: Female  
Location: Montana  
Vaccinated:2007-04-25
Onset:2007-04-25
   Days after vaccination:0
Submitted: 2007-06-19
   Days after onset:55
Entered: 2007-07-09
   Days after submission:20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2002AC / 0 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Gait disturbance, Lip swelling, Oedema peripheral, Skin lesion, Skin warm, Swelling face
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: None
Preexisting Conditions: None - family Hx of rheumatoid arthritis/Lupus
Diagnostic Lab Data:
CDC Split Type:

Write-up: The evening after receiving HPV, swelling of hands, pink warm splotches on her hands, fingers and extremities, lesions waxed and waned through the night. Ended up having swelling of hands, feet and face the next several days making it hard to walk. Lip swollen, used Claritin and Benadryl.


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