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This is VAERS ID 272384

Case Details

VAERS ID: 272384 (history)  
Age: 12.0  
Gender: Female  
Location: California  
Vaccinated:2007-01-03
Onset:2007-01-05
   Days after vaccination:2
Submitted: 2007-01-05
   Days after onset:0
Entered: 2007-02-15
   Days after submission:41
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0651F / - LA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1140F / 1 LA / -

Administered by: Private       Purchased by: Other
Symptoms: Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Left upper, outer arm, 4 cm induration with erythema. Benadryl, Motrin RTC


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