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This is VAERS ID 282701

Case Details

VAERS ID: 282701 (history)  
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 / 0 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Benzyl peroxide, Retin-A
Current Illness: Acne
Preexisting Conditions: None
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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