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This is VAERS ID 274235

(NOTE: This result is from the 2/14/2018 version of the VAERS database)

Case Details

VAERS ID: 274235 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Texas  
   Days after vaccination:0
Submitted: 2007-07-06
   Days after onset:150
Entered: 2007-03-19
   Days after submission:109
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chest discomfort, Hypersensitivity, Injection site erythema, Injection site pruritus, Injection site rash, Rash
SMQs:, Anaphylactic reaction (narrow), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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
Diagnostic Lab Data: NONE
CDC Split Type: WAES0703USA01354

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 medication. 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 experienced a tight chest (she was able to breathe). Medical attention was sought and the patient was treated with a MEDROL DOSEPAK. There were no laboratory or diagnostic tests performed. On 14-FEB-2007, the patient fully recovered. The registered nurse considered red raised bumps and itching at the injection site, rash spread to her arms, trunk and legs and tight chest to be other important medical events. Additional information has been requested.

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