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This is VAERS ID 264209

Case Details

VAERS ID: 264209 (history)  
Age: 12.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-09-27
Onset:2006-09-27
   Days after vaccination:0
Submitted: 2006-10-02
   Days after onset:5
Entered: 2006-10-10
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. B229AA / 0 RA / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Y1067 / 1 LA / IM
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 0816F / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC52B002AA / 4 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Cellulitis, Injection site reaction
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: Cellulitis at injection site


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