National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284720

Case Details

VAERS ID: 284720 (history)  
Age: 18.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-06-12
Onset:2007-06-12
   Days after vaccination:0
Submitted: 2007-06-29
   Days after onset:17
Entered: 2007-07-16
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2339AA / 0 UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Lip swelling, Oedema peripheral, Pyrexia, Urticaria
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Scoliosis, spinal fusion (08/Jul/2005)
Diagnostic Lab Data:
CDC Split Type: 200702231

Write-up: A case was reported by a health professional in the United States on 18 June 2007. An 18-year-old female patient experienced hives, swelling of the lip, hands, and feet, and fever after receiving an intramuscular deltoid injection of Menactra (lot number U2339AA) and Gardasil (lot number 0523U). The vaccines were administered on 12 June 2007, and within 24 hours the patient developed hives, swelling of the lip, hands, and feet, and fever (no documented temperature). Treatment included Benadryl and Tylenol, and the patient was seen by her physician on 13 June 2007 and 18 June 2007. The patient had a history of scoliosis with spinal fusion (07 July 2005). No concomitant medications were reported, and it was unknown if the patient had any illness at the time of vaccination. Outcome was unknown.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284720


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166