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This is VAERS ID 284149

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284149
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
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 was vaccinated with Gardasil. 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. No further details were provided. Additional information has been requested.


Changed on 3/2/2010

284149 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown Illinois
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0244U / - 0 UN / UN IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
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 30-APR-2007, at 3:00 p.m. was vaccinated intramuscularly with Gardasil. 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.


Changed on 6/14/2014

284149 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
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.


Changed on 5/14/2017

284149 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
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.


Changed on 9/14/2017

284149 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Illinois
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Chest discomfort, Drug hypersensitivity, Dyspnoea, Feeling abnormal, Panic attack

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: Allergic reaction to antibiotics
Allergies:
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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