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This is VAERS ID 271341

(NOTE: This result is from the 12/31/2007 version of the VAERS database)

Case Details

VAERS ID: 271341 (history)  
Form: Version .0  
Age: 1.3  
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 / 1 UN / ID
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 UN / ID

Administered by: Unknown       Purchased by: Unknown
Symptoms: Wrong drug administered
SMQs:

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 h"ave been done for a patient of 15 months.


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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20071231&IDNUMBER=271341


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