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This is VAERS ID 271281

Case Details

VAERS ID: 271281 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Unknown  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-01-16
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN
VARZOS: ZOSTER (ZOSTAVAX) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC Split Type: WAES0701USA00186

Write-up: Information has been received from a health professional and a pharmacist concerning a 20 year old patient who on an unspecified date was vaccinated with a dose of Zostavax vaccine instead Gardasil vaccine (yeast). Unspecified medical attention attention was sought. The patient was not experienced any known symptoms. It was reported that the error was not a result of product confusion. There was no record of the patient ever receiving Varicella virus vaccine live. There was no product quality complaint involved. No further information was available. Additional information has been requested. 6/17/10 It was reported that the administering employee did not follow the 5 R''s, did not ask for assistance from another health care professional and "did not know what she was doing." It was confirmed that this was not a case of product confusion. No further information was available.


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