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This is VAERS ID 273209

Case Details

VAERS ID: 273209 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: South Carolina  
Vaccinated:2007-02-16
Onset:2007-02-20
   Days after vaccination:4
Submitted: 2007-02-21
   Days after onset:1
Entered: 2007-02-28
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01874 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1968AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2689AA / 1 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Sensation of heaviness, Skin burning sensation
SMQs:, Peripheral neuropathy (broad)

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: Legs burning and hurt next a.m. Tuesday, arms heavy was better on Wednesday, still with something that was gone on Thursday, burning feeling was gone on Wednesday p.m.


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