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This is VAERS ID 276634

Case Details

VAERS ID: 276634 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Oregon  
Vaccinated:2007-04-06
Onset:2007-04-07
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:6
Entered: 2007-04-17
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / UNK LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 1030F / 2 LA / SC
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / 5 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Asthenia, Chills, Dizziness, Dyspnoea, Hyperhidrosis, Neurological examination, Oedema peripheral, Palpitations, Pyrexia, Tachycardia, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Complete neurologic evaluation
CDC Split Type:

Write-up: High fever, difficulty breathing, hives, diaphoresis, chills, weakness with difficult ambulation, tachycardia, arm swollen twice it''s normal size per patient report, racing heard and severe dizziness (no syncope). Dizziness persists.


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