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This is VAERS ID 282416

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 282416 (history)  
Form: Version .0  
Age: 20.0  
Gender: Female  
Location: Connecticut  
Vaccinated:2007-06-20
Onset:2007-06-20
   Days after vaccination:0
Submitted: 2007-06-20
   Days after onset:0
Entered: 2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. UNKNOWN / 0 LA / UN

Administered by: Private       Purchased by: Private
Symptoms: Dysphonia, Dyspnoea, Panic reaction, Pharyngeal oedema
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: asthma attack~Influenza (no brand name)~1~16~In Patient
Other Medications: orthotricyclen
Current Illness: no
Preexisting Conditions: asthma, history of allergies, hx of adverse rxn to flu vaccine, migraines
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Hoarseness, swelling of throat, diff breathing, panicky reaction, all lasting approx 2 hours until arrival in ER, treated with nebulizer and benadryl and zantac through iv saline drip.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=282416


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