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This is VAERS ID 271014

Case Details

VAERS ID: 271014 (history)  
Age: 14.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-16
Onset:2007-01-17
   Days after vaccination:1
Submitted: 2007-01-18
   Days after onset:1
Entered: 2007-01-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2082AA / - LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1154F / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Asthenia, Injection site erythema, Injection site oedema, Injection site pain
SMQs:, Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Pain, redness, swelling on (L) upper arm, feels weak no fever.


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