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This is VAERS ID 269234

Case Details

VAERS ID: 269234 (history)  
Age: 38.0  
Gender: Female  
Location: Indiana  
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted: 2006-12-14
Entered: 2006-12-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / - - / IM

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea, Nasal congestion, Rhinorrhoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: COMBIVENT, CLARITIN D
Current Illness:
Preexisting Conditions: Seasonal allergy
Diagnostic Lab Data: NONE
CDC Split Type: WAES0611USA07581

Write-up: Information has been received from a physician''s assistant concerning a 38 year old female with seasonal allergy and no pertinent medical history who on 11 Sep 2006 was vaccinated intramuscularly with a 0.5ml dose of HPV vaccine (lot #653650/0702F). Concomitant therapy included COMBIVENT and CLARITIN D. The patient reported that within days after 11 Sep 2006, she had to use her inhaler on and off since then. The patient called the physician''s office and reported a runny nose and stuffiness since the vaccination with symptoms that continued. The patient took allergy medicine and inhaler without relief. The patient sought unspecified medical attention. At the time of the report, the patient had not recovered. In follow-up it was reported by the physician''s assistant that the patient had generalized shortness of breath on 10-NOV-2006. The patient needed to use her inhaler, which she had not needed to do in over two years. The patient reported that she did not get any relief from loratadine (+) pseudoephedrine sulfate. At the time of the report, it was unknown, if the patient recovered.


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