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This is VAERS ID 276841

Case Details

VAERS ID: 276841 (history)  
Age:   
Gender: Female  
Location: Washington  
Vaccinated:2007-03-01
Onset:2007-03-01
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:42
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IJ

Administered by: Private       Purchased by: Other
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0703USA03959

Write-up: Information has been received from a nurse concerning a female patient (age not reported) who in March 2007 "within the last several weeks," was vaccinated with Gardasil. Concomitant medication was not reported. Subsequently in March "within the last several weeks", the patient experienced shortness of breath after receiving Gardasil. The patient was sent to the emergency room, however it was unknown if the patient was admitted to the hospital. The outcome and causality of the event was not reported. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Additional information is not expected.


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