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This is VAERS ID 284149

Case Details

VAERS ID: 284149 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Illinois  
   Days after vaccination:0
Submitted: 2007-06-14
   Days after onset:45
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03593

Write-up: Information has been received from a mother concerning her 20 year old daughter with a history of allergic reaction to antibiotics (unspecified) who on 30-APR-2007, at 3:00 p.m. was vaccinated intramuscularly with Gardasil (Lot number 656051/0244U). There was no concomitant medication. On 30-APR-2007, after one half hour after receiving the vaccine, the patient experienced an unbalanced feeling "panic attack", pressure on her chest and difficulty breathing. The mother also mentioned that her 2 other daughters experienced the same reactions with two doses of the vaccine but not as severe. The physician reported that the symptoms were not reported to him until 29-MAY-2007 when he called the patient "to find out." No further details were provided. Additional information has been requested.

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