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This is VAERS ID 270237

Case Details

VAERS ID: 270237 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Maryland  
Vaccinated:2006-12-28
Onset:2006-12-30
   Days after vaccination:2
Submitted: 2007-01-02
   Days after onset:3
Entered: 2007-01-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 RA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B012AA / 7+ LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Feeling hot
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Quarter sized area red and hot to touch at injection site of Tdap. Advised to apply cold compress by on call doctor.


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