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This is VAERS ID 288173

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 288173 (history)  
Form: Version .0  
Age: 21.0  
Sex: Female  
Location: Tennessee  
   Days after vaccination:5
Submitted: 2007-08-15
   Days after onset:35
Entered: 2007-08-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: Unknown
Symptoms: Angioedema, Arthralgia, Blood bicarbonate, Blood chloride normal, Blood creatinine normal
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Oropharyngeal allergic conditions (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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: 1. recently completed course of keflex for parotitis (Mumps IgM titers were negative, amitriptyline 25 mg QHS (IBS symptoms), seasonale (OCP)
Current Illness: had already recovered from episode of parotitis
Preexisting Conditions: history of idiopathic chronic urticaria
Diagnostic Lab Data: Labs from the above hospitalization included CBC (WBC 12.8, hct 39.7, plt 281), BMP (Na 138, K 3.9, Cl 108, HCO3 26, BUN 8, Cr 0.7), LFT''''s(essentially normal), ESR 16, and CRP 7.9, and UA (normal). Blood cultures normal x 2.
CDC Split Type:

Write-up: developed serum sickness with arthralgias, urticaria, and angioedema of eyes and lips, high CRP during hospitalization (CRP = 7.9). Received Gardasil on 7/6/07, 5 days before her symptoms began. Hospitalization lasted 5 days for refractory pain from art"hralgias. Did not have fever. Urticaria were refractory and lasted for several days after her hospitalization. Of potential confouding interest, she had also recently received keflex (finished a few days prior to when her symptoms began)

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