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This is VAERS ID 278991

Case Details

VAERS ID: 278991 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: South Dakota  
Vaccinated:2007-05-15
Onset:2007-05-15
   Days after vaccination:0
Submitted: 2007-05-16
   Days after onset:1
Entered: 2007-05-18
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Asthma, Pharyngolaryngeal pain, Productive cough, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: known asthma, seasonal allergies - takes allergy injections
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had 1st shot of Gardasil yesterday 20 minutes after started wheezing and sore throat. No Ceoniad dyspnea. She has asthma, O2 96%. Today 5/16, she has a productive cough and wheezing.


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