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This is VAERS ID 272911

Case Details

VAERS ID: 272911 (history)  
Age: 1.1  
Gender: Female  
Location: New York  
Vaccinated:2007-02-17
Onset:2007-02-17
   Days after vaccination:0
Submitted: 2007-02-22
   Days after onset:5
Entered: 2007-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (INFANRIX) / GLAXOSMITHKLINE BIOLOGICALS AC14B008AA / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1948AA / 1 RA / -

Administered by: Private       Purchased by: Public
Symptoms: No adverse effect, Wrong drug administered
SMQs:, Medication errors (narrow)

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

Write-up: none-realized Dtap was given instead of Tdap


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