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This is VAERS ID 277657

Case Details

VAERS ID: 277657 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-02-27
Onset:2007-02-27
   Days after vaccination:0
Submitted: 2007-04-30
   Days after onset:61
Entered: 2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01870 / 1 RA / -

Administered by: Private       Purchased by: Unknown
Symptoms: Dysphagia, Dysphonia, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), 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 (broad), Cardiomyopathy (broad)

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

Write-up: Gardasil - 1st inj 2/27/07 10-11 AM -03:00 pm could not breath, swallow - voice deep- hoarse. Did not go to ER - Fri AM took Benadryl, Baby ASA, throat spray. Lasted 2-3 days office today for 2nd inj told reaction after 1st inj.


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