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This is VAERS ID 279551

Case Details

VAERS ID: 279551 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Arizona  
   Days after vaccination:0
Submitted: 2007-05-14
   Days after onset:34
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: Other
Symptoms: Choking sensation, Culture throat negative, Dyspnoea, Nausea, Pharyngeal oedema, Streptococcus identification test negative
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Streptococcus oralis, 04/10/2007, negative; throat culture, 04/10/2007, negative.
CDC Split Type: WAES0704USA05574

Write-up: Information has been received from a nurse practitioner concerning an 18 year old female who on 29-JAN-2007 at 10:20 am was vaccinated intramuscularly in the right deltoid with the first dose of Gardasil (lot# not provided). On 10-APR-2007 at 14:30 the patient was vaccinated in the right deltoid with the second dose of Gardasil (lot# 03480). On 10-APR-2007 three to four hours post vaccination the patient experienced a swollen throat and had a hard time breathing. The patient was seen in the emergency room due to the severity of the experience. The patient complained of a "feeling of choking," slight nausea with no emesis. The patient reported that no other people in her home were ill with any sickness and she had no known allergies. A quick strep test and throat culture were both negative. The patient was treated with ibuprofen 600 mg, PO every eight hours as needed as well as salt water and loratadine as needed for discomfort. Subsequently, on 12-APR-2007 the patient recovered from the experience.

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