National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 277458

Case Details

VAERS ID: 277458 (history)  
Age: 21.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-04-24
Onset:2007-04-25
   Days after vaccination:1
Submitted: 2007-04-26
   Days after onset:1
Entered: 2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 0 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Dizziness, Fatigue, Hypersensitivity, Nausea, Pruritus, Rash
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Orthotricyclen, Allegra D, Differin gel
Current Illness: none
Preexisting Conditions: Sulfa drugs
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient developed itching and rash on her chest which is a typical location for her when she has an allergic reaction. Also had dizziness, fatigue and nausea.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277458


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