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This is VAERS ID 270606

Case Details

VAERS ID: 270606 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-02
Onset:2007-01-03
   Days after vaccination:1
Submitted: 2007-01-05
   Days after onset:2
Entered: 2007-01-17
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1095F / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1405F / 2 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Injection site cellulitis
SMQs:

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

Write-up: Cellulitis at injection site right upper arm.


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