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This is VAERS ID 281409

Case Details

VAERS ID: 281409 (history)  
Age: 26.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-16
Onset:2007-03-16
   Days after vaccination:0
Submitted: 2007-06-12
   Days after onset:88
Entered: 2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Dyspnoea, Pharyngolaryngeal pain, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient had itchy ear, sore throat, and shortness of breath after receiving Gardasil (first dose). Pt at home when reaction occurred and took Zyrtec. Rxn resolved


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