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This is VAERS ID 370905

(NOTE: This result is from the 12/8/2009 version of the VAERS database)

Case Details

VAERS ID: 370905 (history)  
Form: Version .0  
Age: 26.0  
Gender: Female  
Location: Ohio  
Vaccinated:2009-11-22
Onset:2009-11-22
   Days after vaccination:0
Submitted: 2009-11-22
   Days after onset:0
Entered: 2009-12-01
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U3239AA / 0 LA / UN

Administered by: Other       Purchased by: Private
Symptoms: Throat tightness, Vaccination complication
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal lesions, non-neoplastic, non-infectious and non-allergic (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
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
Allergies:
Diagnostic Lab Data:
CDC Split Type:

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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http://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20091208&IDNUMBER=370905


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