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This is VAERS ID 278468

Case Details

VAERS ID: 278468 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-05-10
Onset:2007-05-11
   Days after vaccination:1
Submitted: 2007-05-14
   Days after onset:3
Entered: 2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2276BA / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Local swelling, Pharyngeal oedema, Tonsillitis
SMQs:, Anaphylactic reaction (narrow), Agranulocytosis (broad), Angioedema (narrow), Oropharyngeal infections (narrow), Oropharyngeal allergic conditions (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: OTC IBUPROFEN as needed for headaches
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Patient awoke in the middle of the night with a swollen throat, but had no difficulty breathing. Her father, who is a physician, said that her tonsils and uvula looked swollen. Mom felt her neck looked swollen. She had not had any other exposures such as to insects. The child went to school the next day and did not worsen. Mom went to the school and gave otc benadryl 50mg to the child, which caused the symptoms to resolve completely in 20 minutes . The child was never seen in our office for the reaction. All information was supplied to us by the mother of the patient. The child has no residual problems.


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