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This is VAERS ID 284517

Case Details

VAERS ID: 284517 (history)  
Age: 23.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0089U / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site pruritus, Injection site rash
SMQs:, Hypersensitivity (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Lactobacillus acidophilus; hormonal contraceptives
Current Illness: Sulfonamide allergy
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05504

Write-up: Information has been received from a health professional concerning a female who was vaccinated with a dose of Gardasil. Subsequently the patient experienced rash at injection site and itching at injection site. The patient''s rash at injection site and itching at injection site persisted. The patient sought unspecified medical attention. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a health professional concerning an approximately 23 year old female with a sulfa allergy and no other medical history who was vaccinated with a dose of GARDASIL (lot # 655324/0089U). Concomitant therapy included unspecified birth control pills and acidophilus. Subsequently the patient experienced rash at injection site and itching at injection site. The patient''s rash at injection site and itching at injection site subsided with no treatment required. The patient told the nurse she will not complete the series at the office. No additional information was available. Additional information is not expected.


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