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This is VAERS ID 270086

Case Details

VAERS ID: 270086 (history)  
Age: 18.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-03
Onset:2007-01-03
   Days after vaccination:0
Submitted: 2007-01-04
   Days after onset:1
Entered: 2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Injection site oedema, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Warm to touch with slight elevation at injection site to LT deltoid.


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