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This is VAERS ID 276221

Case Details

VAERS ID: 276221 (history)  
Form: Version 1.0  
Age: 24.0  
Gender: Female  
Location: Kansas  
Vaccinated:2006-11-22
Onset:2006-11-22
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:134
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 2 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Other Medications: (therapy unspecified), ADVAIR; Albuterol
Current Illness: Asthma; Respiratory disorder
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0703USA01172

Write-up: Information has been received from a physician concerning a female (age not reported) with asthma who on an unspecified date was vaccinated with the second dose of Gardasil, 0.5 ml, once, IM. Concomitant therapy included Advair and unspecified inhaler (therapy unspecified). Subsequently on an unspecified date, the patient experienced chest tightness and shortness of breath a short time after receiving her second dose of Gardasil. The physician reported that the patient self-medicated with her inhaler and her symptoms resolved. Additional information has been requested. This is in follow-up to reports previoulsy submitted 4/6/2007. Information has been received from a physician concerning a 24 year old female radiology technician with asthma and respiratory symptoms who on 22-NOV-2006 was vaccinated with a second dose of GARDASIL (lot #653937/0637F), 0.5ml, once. IM in the left deltoid. Concomitant therapy included ADVAIR and Albuterol. The first vaccination of GARDASIL (lot #653937/0637F) was received on 20-SEP-2006. IM in the right deltoid. Subsequently on 22-NOV-2006, the patient experienced chest tightness. Shortness of breath and wheezing a short time after her second dose of GARDASIL. The physician reported that the patient self-medicated with her Albuterol inhaler 2 times and her symptoms resolved. Additional information is not expected.


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