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This is VAERS ID 277902

Case Details

VAERS ID: 277902 (history)  
Form: Version 1.0  
Age: 22.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-04-19
Onset:2007-04-20
   Days after vaccination:1
Submitted: 2007-05-03
   Days after onset:13
Entered: 2007-05-04
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea, Ear pain, Injection site erythema, Injection site swelling, Malaise, Nasal congestion, Pharyngeal oedema, Pharyngolaryngeal pain, Tinnitus
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Hearing impairment (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LOESTRIN, LEVOXYL
Current Illness: Sexually active
Preexisting Conditions: Thyroid cancer
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA05125

Write-up: Information has been received from a health Medical Assistant (N.A.) concerning a 22 year old female patient who is currently sexually active and had a history of thyroid cancer in OCT-2006. On 19-APR-2007 patient was vaccinated IM in left deltoid with a first dose of Gardasil, lot #657617/0384U. Concomitant therapy included LOESTRIN and LEVOXYL. The medical assistant reported that one or two days post injection the patient''s injection site was little red, swollen and puffy. On 23-APR-2007 patient called the office saying she had not felt good since getting the injections. The injection site was no longer red or swollen and she had no fever but her throat was swollen and she was having trouble breathing (unknown time period injections site reaction resolved and new symptoms occurred). The patient was complaining of a stuffy nose, sore throat, ears ache and ringing of the ears. She wanted to "pull her hair out" because of the ringing of the ears. The patient was instructed to go to the Emergency room (ER) or walk in clinic for treatment. The outcome of trouble breathing, ear pain, feeling unwell, nasal congestion, throat was swollen, sore throat and ringing of the ears was not recovered. The reporter considered the event "difficulty breathing" to be life threatening. The reporter felt the events to be disabling because the patient was not able to go to work or school. Additional information has been requested.


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