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This is VAERS ID 265338

Case Details

VAERS ID: 265338 (history)  
Age: 1.03  
Gender: Male  
Location: Michigan  
Vaccinated:2006-10-13
Onset:0000-00-00
Submitted: 2006-10-17
Entered: 2006-10-25
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR V2175HA / 0 UN / IM
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB099CB / 0 UN / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0212R / 3 UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B22930D / 3 LL / IM

Administered by: Private       Purchased by: Public
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:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: None Stated


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