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This is VAERS ID 273861

Case Details

VAERS ID: 273861 (history)  
Age: 16.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-02-28
Onset:2007-03-02
   Days after vaccination:2
Submitted: 2007-03-03
   Days after onset:1
Entered: 2007-03-13
   Days after submission:9
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2172AA / 0 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Approximately 10 cm local reaction of redness and swelling Left arm. Treatment: warm soaks.


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