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This is VAERS ID 276131

Case Details

VAERS ID: 276131 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Ohio  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-06
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Bronchospasm, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow)

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Stress
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA00489

Write-up: Information has been received from a physician concerning a female who was vaccinated with 0.5 ml of Gardasil. Subsequently the patient experienced bronchospasm and shortness of breath. The patient was noted to be under a lot of stress "lately". Subsequently, the patient recovered from bronchospasm and shortness of breath. Additional has been requested.


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