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This is VAERS ID 284544

Case Details

VAERS ID: 284544 (history)  
Age: 23.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-05-01
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. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Injection site reaction, 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? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0706USA00002

Write-up: Information has been received from a registered nurse concerning a 23 year old female who in approximately May 2007, was vaccinated with Gardasil. Subsequently the patient experienced a red welt at injection site. Additional information has been requested.


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