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This is VAERS ID 282701

Case Details

VAERS ID: 282701 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-17
Onset:2007-05-18
   Days after vaccination:1
Submitted: 2007-05-18
   Days after onset:0
Entered: 2007-06-22
   Days after submission:35
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 1 LA / -

Administered by: Private       Purchased by: Public
Symptoms: Blood glucose increased, Fatigue, Hyperventilation, Livedo reticularis, Peripheral coldness
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Hyperglycaemia/new onset diabetes mellitus (narrow), Eosinophilic pneumonia (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: Benzyl peroxide, Retin-A
Current Illness: Acne
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Random blood sugar = 109
CDC Split Type: CA070023

Write-up: Patient developed hyperventilation; cold, mottled hands. Normal vital signs normal blood sugar. Halfway through Albuterol treatment, patient looked tired ---$g sent to ER via EMS.


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