National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279177

Case Details

VAERS ID: 279177 (history)  
Form: Version 1.0  
Age: 26.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:8
Submitted: 2007-05-14
   Days after onset:79
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea, Injection site rash, Pallor, Palpitations, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: Asthma
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type: WAES0704USA01471

Write-up: Information has been received from a medical assistant, a 26 year old female patient with asthma, who on 15-FEB-2007 was vaccinated IM with a dose, 0.5ml, of Gardasil. There was no concomitant medication. On 23-FEB-2007 the patient reported that she couldn''t breathe, her heart and chest were pounding, and she looked really pale. She also reported that she developed a rash at the injection site with "rectangular" hives. The MA added that she laid down when the events occurred, and the symptoms went away "after half an hour." The patient sought unspecified medical attention. Additional information has been requested.

New Search

Link To This Search Result:

Copyright © 2018 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166