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This is VAERS ID 276651

Case Details

VAERS ID: 276651 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Minnesota  
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:34
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chest discomfort, Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow)

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:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01596

Write-up: Information has been received from a registered nurse concerning a 25 year old female who on 08-MAR-2007 was vaccinated with Gardasil. On 09-MAR-2007 the patient experienced redness, pain, swelling and rash at the injection site. The patient called the physicians office and was asked if she had trouble breathing. The patient reported no trouble breathing and was instructed to take BENADRYL. Then patient then called the physician''s office back to report she had developed tightness in her chest. The tightness in her chest resolved with BENADRYL. Additional information has been requested.

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