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This is VAERS ID 274235

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 274235 (history)  
Form: Version .0  
Age: 20.0  
Sex: Female  
Location: Texas  
Vaccinated:2007-02-05
Onset:2007-02-05
   Days after vaccination:0
Submitted: 2007-03-16
   Days after onset:38
Entered: 2007-03-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other       Purchased by: Unknown
Symptoms: Chest discomfort, Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site rash
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad)

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Information has been received from a health professional concerning a 20 year old female with no pertinent medical history who on 05-FEB-2007 was vaccinated intramuscularly with a 0.5 ml dose of Gardasil (lot #653650/0702F). There was no concomitant medic"ation. In February 2007, after the vaccination, the patient experienced an /"allergic type reaction./" The patient developed red raised bumps and itching at the injection site. It was reported that a rash spread to her arms, trunk and legs and the patient


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