This is VAERS ID 370905
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| VAERS ID: | 370905 (history) | Vaccinated: | 2009-11-22 | | Age: | 26.0 | Onset: | 2009-11-22, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2009-11-22, Days after onset: 0 | | Location: | Ohio | Entered: | 2009-12-01, Days after submission: 9 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: METFORMIN; CLARITIN; ORTHO-TRYCYCLIC | | Current Illness: Denies | | Preexisting Conditions: Sulfa; PCN; Codeine; Vicodin; Bee stings; nuts; latex; pollen | | Diagnostic Lab Data: | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | FLU: INFLUENZA (SEASONAL) (FLUZONE) | SANOFI PASTEUR | U3239AA | 0 | UN | LA | |
| Administered by: Other Purchased by: Private | Symptoms: Throat tightness,
Vaccination complication SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)
| | Write-up: Pt reports throat feels tight. Reports h/o "rxn" after GARDASIL. Taken BENADRYL 50 mg x 1. Observed x 45 min. Vitals stable. Pt returned home. Called pt 2 hours later - doing better. No resp/skin issues. Sister vaccinated (latex allergy as well) without incident. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=370905
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