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This is VAERS ID 270913

Case Details

VAERS ID: 270913 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Nebraska  
   Days after vaccination:3
Submitted: 2007-01-15
   Days after onset:4
Entered: 2007-01-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / 1 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Electrocardiogram normal
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Depo (also given same day).
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Neg EKG and Neg CXR
CDC Split Type:

Write-up: 36 hrs after vaccine pt had severe chest pain and SOB. Went to ER, Neg EKG and neg CXR. Symptoms resolved on their own.

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