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This is VAERS ID 277402

Case Details

VAERS ID: 277402 (history)  
Form: Version 1.0  
Age: 21.0  
Gender: Female  
Location: Alabama  
   Days after vaccination:0
Submitted: 2007-04-25
   Days after onset:15
Entered: 2007-04-26
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / -

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Dry mouth, Dysphagia, Dyspnoea, Headache, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Dehydration (broad)

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: None
CDC Split Type: WAES0704USA03424

Write-up: Information has been received from a physician concerning a 21 year old female who on approximately 10-APR-2007 was vaccinated with a first dose of Gardasil. On approximately 10-APR-2007 the patient experienced dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache. The patient was treated with dexamethasone injection and Benadryl injection. Subsequently, the patient recovered. There were no laboratory or diagnostic tests performed. The reporting physician considered dry mouth, tightness in her throat, difficulty swallowing, shortness of breath, diarrhea and headache to be other important medical events. Additional information has been requested.

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