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This is VAERS ID 283935

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283935
Age:16.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-09
Onset:2007-05-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Urticaria

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Drug hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02203

Write-up:Information has been received from a physician concerning a 16 year old female with an unspecified drug allergy who on 09-MAY-2007 was vaccinated IM with the first dose of Gardasil. Within an hour, the patient experienced shortness of breath and possibly hives. The physician sent the patient to the ER. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283935&WAYBACKHISTORY=ON


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