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This is VAERS ID 270972

Case Details

VAERS ID: 270972 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Unknown  
   Days after vaccination:0
Submitted: 2007-01-19
   Days after onset:9
Entered: 2007-01-23
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 2 - / IM

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea, Erythema, Pruritus, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Current Illness: Rhinitis allergic, asthma, gastric ulcer, anemia, migraine
Preexisting Conditions: General symptoms
Diagnostic Lab Data:
CDC Split Type: WAES0701USA01386

Write-up: Information has been received from a nurse practitioner concerning a 24 year old female with allergic rhinitis, asthma, gastric ulcer, anemia and migraine and a "history of high-risk HPV'' who on 10-JAN-2007 was vaccinated with the second dose of Gardasil vaccine (yeast) (lot#655165/1425F), 0.5 ml, one time, IM. Concomitant therapy included NUVARING, ZYRTEC-D and NASAREL. Initial vaccination of Gardasil vaccine (yeast) was received on 16-NOV-2006. On 10-JAN-2007, the patient developed throat tickle, chest redness, itchiness, chest and neck hives and intermittent shortness of breath 15 minutes after administration of Gardasil vaccine (yeast). The patient was administered BENADRYL and the symptoms resolved after 10 minutes. The patient left the office in good condition without residual problems. Throat tickle, chest redness, itchiness, chest and neck hives and intermittent shortness of breath were considered to be other important medical events. Additional information has been requested.

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