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This is VAERS ID 267288

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267288
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-29
Onset:2006-09-30
Submitted:2006-11-15
Entered:2006-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Throat tightness, Tongue oedema, Urticaria

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Macrobid
Current Illness: Urinary tract infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physicians assistant concerning a 25 year old female who on 9/29/06 was vaccinated with a first dose of HPV vaccine. Concomitant suspect therapy initiated a few days prior included nitrofurantoin (Macrobid) for the tre"atment of a urinary tract infection (dose not reported). Other concomitant therapy included drospirenone + ethinyl Estradiol (Yasmin). On 9/20/06 the pt called the physicians office to state that she had developed hives. The physicians office referred her


Changed on 12/8/2009

VAERS ID: 267288 Before After
Age:25.0
Gender:Female
Location:Maryland
Vaccinated:2006-09-29
Onset:2006-09-30
Submitted:2006-11-15
Entered:2006-11-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0800F / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Throat tightness, Tongue oedema, Urticaria

Life Threatening? Yes
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yasmin, Macrobid
Current Illness: Urinary tract infection
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0611USA03232

Write-up:Information has been received from a physicians assistant concerning a 25 year old female who on 9/29/06 was vaccinated with a first dose of HPV vaccine. Concomitant suspect therapy initiated a few days prior included nitrofurantoin (Macrobid) for the tre"atment treatment of a urinary tract infection (dose not reported). Other concomitant therapy included drospirenone + ethinyl Estradiol (Yasmin). On 9/20/06 the pt called the physicians office to state that she had developed hives. The physicians office referred her to the ER where she was placed on methylprednisolone (Medrol Dosepak). The pt was not hospitalized. On 10/2/06 the pt called the physicians office to report that her tongue was swelling and her throat was closing. The pt was immediately referred to the ER where she was given epinephrine (Epi Pen). The pt was not hospitalized. On 1/04/06 the pt recovered. Hives, tongue swelling and throat closing were considered to be disabling, immediately life threatening and other important medical events (OMIC). The physicians assistant reported that they were not sure if the reactions was to the HPV or the Macrobid. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267288&WAYBACKHISTORY=ON


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