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This is VAERS ID 284487

Case Details

VAERS ID: 284487 (history)  
Age: 15.0  
Gender: Female  
Location: Delaware  
Vaccinated:0000-00-00
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. - / 0 UN / UN

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: Asthma
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA04955

Write-up: Information has been received from a physician concerning a 15 year old female patient with a history of asthma who was vaccinated with a first dose of Gardasil. Within twenty-four hours after receiving the vaccine, the patient experienced difficulty breathing. Unspecified medical attention was sought. At the time of this report the patient had recovered. It was reported that the patient will not complete the series. No product quality complaint was involved. Additional information has been requested.


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