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This is VAERS ID 274203

(NOTE: This result is from the 6/14/2014 version of the VAERS database)

Case Details

VAERS ID: 274203 (history)  
Form: Version .0  
Age: 26.0  
Sex: Female  
Location: Texas  
   Days after vaccination:25
Submitted: 2007-03-14
   Days after onset:200
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Private
Symptoms: Burning sensation, Contusion, Pruritus, Rash pruritic, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA01391

Write-up: This is in follow-up to report(s) previously submitted on 3/14/2007. Initial and follow up information has been received from a physician and a healthcare professional, concerning a 26 year old female nurse, with no known allergies, who at 2:00pm, on 25-August-2006, was vaccinated IM with the first dose of GARDASIL (lot #654885/1412F). There was no illness at the time of vaccination. The physician reported that by nighttime, the patient experienced a burning sensation in her cheeks. The next morning, 26-AUG-2007, she developed an itchy rash on her cheeks; the healthcare professional added that on this date, the patient also experienced bruising on her face and pruritus. The healthcare worker confirmed the symptoms lasted for "about 1 week" and then resolved with the exception of the pruritus, which lasted for "more than 3 months." Follow up information stated that on 25-OCT-2006, the patient was vaccinated IM with the second dose of GARDASIL (Lot # 654885/1424F), and she experienced a recurrence of the itching rash on her face, pruritus, and bruising on her face. Again, the symptoms of itching rash and bruising on the face resolved in about 3 week. No further information was expected.

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