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This is VAERS ID 281957

Case Details

VAERS ID: 281957 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-02-02
Onset:2007-02-02
   Days after vaccination:0
Submitted: 2007-06-15
   Days after onset:132
Entered: 2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03840 / UNK - / IM

Administered by: Public       Purchased by: Private
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient complained of shortness of breath after 1st shot. SOB lasted 2-3 minutes with no rash or swelling. We are delaying 2nd shot until our Medical Director reviews the chart.


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