Age: 19.0
Sex: F
Vaccine: HPV4
Symptoms: Pruritus generalised, Rash pruritic, Vaccine positive rechallenge
Clinical narrative: Information has been received from a nurse concerning a patient (age and gender not reported) who on an unspecified date was vaccinated with a first dose of Gardasil (lot # unknown).  On an unspecified date the patient was also vaccinated with a second dose of Gardasil.  After the first and second vaccination the patient broke out into an itchy rash.  At the time of reporting it is unknown if the patient had recovered.  This report is from one of two reports.  Additional information has been requested. This is a follow-up for report(s) received on 09/17/2007.  Follow-up information was received on an unspecified date in February 2007, the patient stated that after receiving the first injection of GARDASIL that she broke out in a mild rash and itched all over for a couple of weeks, but did not report it because she thought it was not associated with the injection.  In April 2007, the patient received the second injection the patient broke out again with a more severe rash than the first and more servere itching all over.  The patient opted to not receive the third dose.  The patient was treated with ZYRTEC and a steroid injection.  Blood work was performed.  The patient's platelet count dropped to 129;  she sought medical attention for this and treated (treatment unspecified).  On an unknown date the patient recovered.  Follow-up information was received via telephone from a nurse.   The nurse noted that the patient received medical treatment.  The patient was also treated with a cream (unspecified).  The nurse noted that the rash was not life threatening and "just required some medical attention".  The nurse reported that the case was non-serious.  Additional information is not expected.  This report no longer meets criteria for submission because upon follow-up the reporter stated the report was non-serious. This is in follow-up report(s) previously submitted on 5/17/2007.  Information has been received from a nurse concerning a 19 year old female with no pertinent medical history or drug reactions/allergies who on 19-FEB-2007 was vaccinated with a first dose of GARDASIL (455848/0263U) IM in right gluteal.  On 15-APR-2007 the patient was vaccinated with a second dose of GARDASIL (656051/0244U) IM in the left gluteal.  After the first and second vaccination the patient broke out into an itchy rash.  At the time of reporting it is unknown if the patient had recovered.  Follow-up information was received.  On an unspecified date in February 2007, the patient stated that after receiving the first injection of GARDASIL that she broke out in a mild rash and itched all over for a couple of weeks, but did not report it because she thought it was not associated with the injection.  In April 2007, the patient received the second injection the patient broke out again with a more severe rash than the first and more severe itching all over.  The patient opted to not receive the third dose.  The patient was treated with ZYRTEC and a steroid injection.  The patient's platelet count dropped to 129;  she sought medical attention for this and treated (treatment unspecified).  On an unknown date the patient recovered.  Severe itchy rash was considered to be an other medical event.  Additional information is not expected.