National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 272630

Case Details

VAERS ID: 272630 (history)  
Form: Version 1.0  
Age: 22.0  
Sex: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2007-02-14
   Days after onset:21
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 GM / -

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site, Injection site rash, Rash
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Medication errors (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: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA00307

Write-up: Information has been received from the mother of a 22 year old female, via a consumer (friend), who on approximately 24-JAN-2007 was vaccinated in the buttock with the first dose of HPV vaccine. On approximately 24-JAN-2007 the patient developed an initial rash at the injection site, which went away. A few days later, approximately 27-JAN-2007 the patient developed a rash on her entire trunk, spreading form her crotch to her shoulders. The patient''s mother was thought to be a nurse, who administered the injection to her daughter at home after she picked up the vaccine from her daughter''s physician. It was also reported that the mother of the patient had picture of her daughter''s rash. At the time of the report the patient had not recovered from the rash on her trunk. The patient sought unspecified medical attention. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2020 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166