This is VAERS ID 394854
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| VAERS ID: | 394854 (history) | Vaccinated: | 2010-07-16 | | Age: | 16.0 | Onset: | 2010-07-16, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2010-08-10, Days after onset: 25 | | Location: | Indiana | Entered: | 2010-08-10 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? Yes | | ER or Doctor Visit? Yes |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: None | | Current Illness: No | | Preexisting Conditions: No | | Diagnostic Lab Data: None | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HEPA: HEP A (HAVRIX) | GLAXOSMITHKLINE BIOLOGICALS | AHAVB379AA | 0 | IM | RA | | MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) | SANOFI PASTEUR | U3098AA | 0 | IM | LA | |
| Administered by: Public Purchased by: Public | Symptoms: Dyspnoea,
Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)
| | Write-up: Patient presented to office today (8-10-10) for GARDASIL #3 and reports she had difficulty breathing and tachycardia after receiving MCV-4 and HEP A #1 on 7-16-10. States symptoms started about 30 min after shots. Went to doctor. No tx given. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=394854
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