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This is VAERS ID 290916
VAERS ID: 290916 (history) Vaccinated: 2007-09-17 Age: 17.0 Onset: 2007-09-17, Days after vaccination: 0 Gender: Female Submitted: 2007-09-19, Days after onset: 2 Location: Massachusetts Entered: 2007-09-19
Life Threatening? No
Permanent Disability? No Recovered? Yes
ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: None Current Illness: None Preexisting Conditions: Allergic rhinitis, Acne Diagnostic Lab Data: CDC Split Type:
Vaccination Manufacturer Lot Dose Route Site TDAP: TDAP (ADACEL) SANOFI PASTEUR C2758AA 0 IM LA UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) UNKNOWN MANUFACTURER 1061W 0 IM RA
Administered by: Public Purchased by: Public Symptoms: Chest pain,
Pharyngeal oedema SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypersensitivity (narrow)
Write-up: Patient experienced throat swelling, difficulty breathing and chest pain on inspiration just after leaving the office where she had received Gardasil and Adacel. Symptoms gradually resolved over 48 hours. She did not pursue any medical treatment until 48hrs later and did not take any medications.
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