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This is VAERS ID 282712

Case Details

VAERS ID: 282712 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Iowa  
Vaccinated:2007-06-04
Onset:2007-06-05
   Days after vaccination:1
Submitted: 2007-06-13
   Days after onset:8
Entered: 2007-06-22
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1213R / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0211U / 2 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Arthropod bite, Chest X-ray normal, Dyspnoea exertional, Fatigue, Full blood count normal, Pain, Streptococcus identification test negative, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Pulmonary hypertension (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CXR negative, Mono spot negative, CBC unremarkable, Strep negative
CDC Split Type: IA07008

Write-up: 6/4/07 Eve - felt fatigued, mild achy then 6/5/07 awoke with extreme achiness, mild dyspnea with exertion and swelling of face. 6/4/07 Eve had been outdoors fishing, one bug bite found on her hand. ER Visit attached. Recovered in 1 day.


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