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This is VAERS ID 273813

Case Details

VAERS ID: 273813 (history)  
Form: Version 1.0  
Age: 14.0  
Gender: Female  
Location: Wisconsin  
Vaccinated:2007-02-20
Onset:2007-02-20
   Days after vaccination:0
Submitted: 2007-02-23
   Days after onset:3
Entered: 2007-03-12
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Incorrect dose administered
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: Adderall XR 20 mg daily ADD, Tetracycline 500 mg BID acne
Current Illness: ADD, Right ankle sprain, Acne
Preexisting Conditions: left elbow cracking
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: Adult dose of Hepatitis A given (1440 elu) instead of pediatric dose of Hepatitis A (720 elu)


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