National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 282771

Case Details

VAERS ID: 282771 (history)  
Age: 14.0  
Gender: Female  
Location: New York  
Vaccinated:2007-01-16
Onset:2007-01-16
   Days after vaccination:0
Submitted: 2007-06-18
   Days after onset:152
Entered: 2007-06-25
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHANB124BA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Vaccine positive rechallenge, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol M 02 prn
Current Illness: none
Preexisting Conditions: Asthma
Diagnostic Lab Data:
CDC Split Type:

Write-up: Significant exacerbation of wheezing. Pt had 2nd HPV 6/12/07 - Merck 0587V. Similar symptoms.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282771


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166