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This is VAERS ID 272387

Case Details

VAERS ID: 272387 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:2007-02-15
Onset:2007-02-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011V / 3 RA / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B009AA / 1 LA / -

Administered by: Private       Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Heart rate increased, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: URI and pharyngitis
Preexisting Conditions: Exercise induced asthma.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: C/O dizziness "can''t breath" observed tremor of hands states heart beating rapidly (AP=72/min)


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