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This is VAERS ID 261359

Case Details

VAERS ID: 261359 (history)  
Age: 11.0  
Gender: Female  
Location: California  
Vaccinated:2006-07-13
Onset:0000-00-00
Submitted: 2006-07-14
Entered: 2006-08-10
   Days after submission:27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2457AA / 5 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Dizziness, Lymphadenopathy, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC Split Type:

Write-up: Dizzy, nauseated, developed axillary lymphadenopathy on side with Menactra inoculation.


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