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This is VAERS ID 273503

Case Details

VAERS ID: 273503 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Oregon  
Vaccinated:2007-02-26
Onset:2007-02-26
   Days after vaccination:0
Submitted: 2007-03-05
   Days after onset:7
Entered: 2007-03-06
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHAVB113AA / 2 RA / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHBVB261AA / 3 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Dyspnoea, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (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: hives, swelling~ ()~~10.00~In Sibling
Other Medications: Stratera, Yazmine, 25 mg diphenhydramine QHS prn
Current Illness: poss. slight CAD
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: ABN CBC-WBC; Monocytes 12.8%; Lymphocytes 50.7; granulocytes 365; other values WNL
CDC Split Type:

Write-up: Ct c/o feeling of throat tightening up and difficulty breathing approx 3 1/2-4 hrs of receiving vaccinations. Went to bed and next am awake with throat tightness and breathing trouble, but left eye was swollen shut, right eye puffy, hands and arms swollen bilat., temp 100.9, earlobes also swollen, rash with red blotchness right hand. No local reaction, no arthralgia, ct saw pcp on 2/27/07. Treated with Benadryl 50mg a 6 hour x 2-3 days. Improved substantially by 3/27


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