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This is VAERS ID 284153

Case Details

VAERS ID: 284153 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-04-30
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / UNK UN / IM

Administered by: Private       Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack, Vaccine positive rechallenge
SMQs:, Anaphylactic reaction (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA03665

Write-up: Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack" pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe from than her older sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. This is in follow-up to report (s) previously sumbitted on 6/14/2007.


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