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This is VAERS ID 273813

Case Details

VAERS ID: 273813 (history)  
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 / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Private       Purchased by: Other
Symptoms: Incorrect dose administered
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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
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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