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This is VAERS ID 271456

Case Details

VAERS ID: 271456 (history)  
Age: 14.0  
Gender: Female  
Location: Missouri  
Vaccinated:2007-01-15
Onset:2007-01-17
   Days after vaccination:2
Submitted: 2007-01-29
   Days after onset:12
Entered: 2007-01-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0694F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

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

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

Write-up: Mild erythema and edema to Left deltoid. Prescribed over the counter Motrin 400 mg every 6-8 hours as needed.


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