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This is VAERS ID 271341

Case Details

VAERS ID: 271341 (history)  
Form: Version 1.0  
Age: 1.27  
Gender: Female  
Location: Tennessee  
Vaccinated:2007-01-25
Onset:2007-01-25
   Days after vaccination:0
Submitted: 2007-01-26
   Days after onset:1
Entered: 2007-01-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER UNKNOWN / 2 UN / ID
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 2 UN / ID

Administered by: Unknown       Purchased by: Unknown
Symptoms: 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was administered a vaccination of gardasil by accident instead of the scheduled comvax. It was administer on 1/25/06. It has been only one and no symptoms have been observed. Gardasil is approved for patients of 9 years to 26 years. No studies have been done for a patient of 15 months.


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