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This is VAERS ID 263024

Case Details

VAERS ID: 263024 (history)  
Age: 1.51  
Gender: Male  
Location: North Carolina  
Vaccinated:2006-09-11
Onset:0000-00-00
Submitted: 2006-09-11
Entered: 2006-09-13
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1751AB / 3 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08682H / 2 LL / IM

Administered by: Private       Purchased by: Unknown
Symptoms:
SMQs:

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

Write-up: Wrong vaccine was given Gardasil was given instead of Hep A by mistake.


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