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This is VAERS ID 273640

Case Details

VAERS ID: 273640 (history)  
Age: 19.0  
Gender: Female  
Location: Maine  
Vaccinated:2007-02-26
Onset:2007-02-26
   Days after vaccination:0
Submitted: 2007-02-28
   Days after onset:2
Entered: 2007-03-08
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / - LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1932AB / - RA / IM
PPV: PNEUMO (PNEUMOVAX) / MERCK & CO. INC. 0889F / - RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Erythema, Nausea, Pain, Pyrexia, Swelling
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), 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:
Current Illness:
Preexisting Conditions: NKDA-Eczema
Diagnostic Lab Data:
CDC Split Type:

Write-up: Right arm red, swollen, has fever, nausea, body aches, no rash or hives.


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