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This is VAERS ID 283765

Case Details

VAERS ID: 283765 (history)  
Age: 31.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-03-16
Onset:2007-03-16
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:90
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC Split Type: WAES0705USA01060

Write-up: Information has been received from a medical assistant concerning a 31 year old female who on 16-MAR-2007 was vaccinated with Gardasil (Lot #656049/0187U), intramuscular, in the left deltoid. On 16-MAR-2007 the patient experienced shortness of breath beginning 2 hours after the vaccination. It lasted a couple hours and then resolved without treatment. Additional information has been requested.


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