National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 277390

Case Details

VAERS ID: 277390 (history)  
Age: 16.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-01-08
Onset:2007-01-09
   Days after vaccination:1
Submitted: 2007-04-25
   Days after onset:105
Entered: 2007-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 121974AB / 0 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Allergy test, Eye swelling, Headache, Rash, Skin test positive, Throat tightness, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hx of Asthma-been on Flonase, Claritin, Albuterol in past
Current Illness:
Preexisting Conditions: Asthma
Diagnostic Lab Data: Allergy testing by Allergist (+) Skin test to Menactra
CDC Split Type:

Write-up: 1 hr after visit eyes swollen, rash on both wrists, wheezing (Hx of Asthma), HA, took 2 ASA for HA and Benadryl. Also tightness in throat. Better with in 15 minutes of Benadryl. Pt was on no allergy meds at this time.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277390


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