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This is VAERS ID 274592

Case Details

VAERS ID: 274592 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2006-11-17
Onset:2006-11-19
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:114
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Chest pain, Dyspnoea
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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0702USA04100

Write-up: Information has been received from a registered nurse concerning a female with asthma who on 17-NOV-2006 was vaccinated with the first dose of Gardasil. On 19-NOV-2006, the patient experienced shortness of breath and chest pain. The patient recieved unspecified treatment at the clinic where she was employed. It was reported that the patient attended work the following day, although, had recurrence of shortness of breath. The patient''s outcome was unknown. Additional information has been requested.


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