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This is VAERS ID 272851

Case Details

VAERS ID: 272851 (history)  
Form: Version 1.0  
Age: 8.0  
Gender: Female  
Location: Kansas  
Vaccinated:2007-02-21
Onset:0000-00-00
Submitted: 2007-02-21
Entered: 2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U2272AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 2 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1301F / 2 LA / SC

Administered by: Unknown       Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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

Write-up: The HPV vaccine was given to a 7 yr. old girl.


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