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This is VAERS ID 278149

Case Details

VAERS ID: 278149 (history)  
Age: 17.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-01
Onset:2007-05-02
   Days after vaccination:1
Submitted: 2007-05-07
   Days after onset:5
Entered: 2007-05-08
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 2 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2230AA / 0 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Asthma, Injection site erythema, Injection site swelling, Pharyngeal oedema, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Asthma/bronchospasm (narrow), Oropharyngeal allergic conditions (narrow), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (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: Asmanex, Loestrin, Singulair, Albuterol
Current Illness: healthy
Preexisting Conditions: asthma-environment allergies-no hx latex or neomycin
Diagnostic Lab Data:
CDC Split Type:

Write-up: Triggered asthma reaction-wheezing and mild throat swelling-had swelling and redness at injection site of R deltoid area


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