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This is VAERS ID 284140

Case Details

VAERS ID: 284140 (history)  
Form: Version 1.0  
Age: 25.0  
Sex: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:31
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Activities of daily living impaired, Erythema, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Kariva dose; Ibuprofen; Vitamins (unspecified) dose
Current Illness: Headache; Contraception
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0705USA03215

Write-up: Information has been received from a physician concerning a 25 year old female with headache and contraception who on 14-MAY-2007 at 3:30 pm was vaccinated with the first dose of Gardasil, 0.5 mL, IM. Concomitant therapy included vitamins (unspecified), desogestrel/ethinyl estradiol (KARIVA) and ibuprofen. On 14-MAY-2007, the patient reported a rash appeared on her abdomen and back around 9 pm and spread overnight to her arms and legs. The patient had no fever or chills. The patient did not go to work on 15-MAY-2007. The patient called the physician''s office the next day to report the event. The patient was instructed to take loratadine (CLARITIN) during the day and diphenhydramine hydrochloride (BENADRYL) during the night. The patient was also instructed to soak in lukewarm water with baking soda. On 17-MAY-2007, the patient reported that she continued to have some pruritis but the erythema had resolved. The patient reported that she continued to have a few "bumps" but claims to be much better. The patient continued with the loratadine during the day and diphenhydramine hydrochloride at night, and taking the lukewarm soaks with baking soda. The patient stated that she will continue with the soaks as they offer relief from the itching. The patient has not missed any more time from work due to this condition. Additional information has been requested.

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