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This is VAERS ID 284162

Case Details

VAERS ID: 284162 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-07
Onset:2007-05-07
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:38
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 2 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Rash
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03848

Write-up: Information has been received from a nurse practitioner concerning a 16 year old female who on 07-MAY-2007 was vaccinated with the 2nd dose in the left deltoid with Gardasil (lot # 657617/0384U). There was no concomitant medication. On 07-MAY-2007 the patient experienced rash and itchiness in the joint areas of the armpits, elbows, knees, and ankles which developed after 24 hours of getting the vaccine. The nurse stated that the patient had developed a similar rash when she ate mangos. Patient sought unspecified medical attention. The patient is being treated with steroid cream and has almost recovered. At the time of the report, the patient''s rash and itchiness in the joint areas of the armpits, elbows, knees, and ankles had persisted. Additional information has been requested.


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