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This is VAERS ID 370905
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
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 FLU3: 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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