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This is VAERS ID 263185

Case Details

VAERS ID: 263185 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: New York  
Vaccinated:2006-08-29
Onset:2006-08-29
   Days after vaccination:0
Submitted: 2006-08-31
   Days after onset:2
Entered: 2006-09-19
   Days after submission:19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dysphagia
SMQs:, Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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: Singulair, Allegra, Flovent, Rhinocort
Current Illness:
Preexisting Conditions: Asthma, Penicillin allergy.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 2 hours after Gardasil Administration pt developed inability to swallow. Advised to take Benadryl by covering physician and go to ER. In ER not given EPI but Solumedrol to take for 5 days.


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