National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276806

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276806
Age:49.0
Gender:Female
Location:Arizona
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Hypoventilation, Inappropriate schedule of drug administration, Somnolence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; VALTREX; vitamin b (unspecified)
Current Illness:
Preexisting Conditions: Penicillin allergy; Sulfonamide allergy; Drug hypersensitivity; Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 49 year old female with penicillin allergy, sulfa allergy, ciprofloxacin hydrochloride (Cipro) allergy, erythromycin (E-Mycin) allergy and hypothyroidism who on 15-MAR-2007 was vaccinated"with Gardasil, IM. Concomitant therapy included Levaothyroxine Na (SYNTHROID), vitamin B (unspecified) and valacyclovir HC1 (VALTREX). On 15-MAR-2007, after receiving the first dose of Gardasil, the patient became drowsy and had trouble taking a deep brea


Changed on 12/8/2009

VAERS ID: 276806 Before After
Age:49.0
Gender:Female
Location:Arizona
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Hypoventilation, Inappropriate schedule of drug administration, Somnolence

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: SYNTHROID; VALTREX; vitamin b (unspecified)
Current Illness:
Preexisting Conditions: Penicillin allergy; Sulfonamide allergy; Drug hypersensitivity; Hypothyroidism
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA03468

Write-up:Information has been received from a registered nurse concerning a 49 year old female with penicillin allergy, sulfa allergy, ciprofloxacin hydrochloride (Cipro) allergy, erythromycin (E-Mycin) allergy and hypothyroidism who on 15-MAR-2007 was vaccinated"with vaccinated with Gardasil, IM. Concomitant therapy included Levaothyroxine Na (SYNTHROID), vitamin B (unspecified) and valacyclovir HC1 (VALTREX). On 15-MAR-2007, after receiving the first dose of Gardasil, the patient became drowsy and had trouble taking a deep brea breath. The patient was not in distress. No treatment was provided. The patient called the physician back on 16-MAR-2007 and reported she was still having trouble taking a deep breath. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276806&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166