This is VAERS ID 290916
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| 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 |
| Died? 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,
Dyspnoea,
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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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=290916
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