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This is VAERS ID 313806

Case Details

VAERS ID:313806 (history)  Vaccinated:2007-09-07
Age:18.0  Onset:2007-09-07, Days after vaccination: 0
Gender:Female  Submitted:2008-05-16, Days after onset: 252
Location:Wisconsin  Entered:2008-05-28, Days after submission: 12
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Vicodin: Mental health "number of diagnoses"
Diagnostic Lab Data: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER    
Administered by: Public     Purchased by: Public
Symptoms: Anxiety, Injection site erythema, Injection site pruritus, Injection site rash
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)
Write-up: Within 3 h of injection, client noted "terrible rash", "itchy, red" approx 10 cm around at site of inj. Had "anxiety attack" on noticing rash. No Rx at ER visit. MD "go home, take med for anxiety and that she not get a third GARDASIL. She first said she had not (anxiety) meds but then stated she took "a XANAX". She also used an "itch cream" on the rash. Rash and anxiety resolved. She reports not having had a reaction to the first GARDASIL.

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