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This is VAERS ID 274461

Case Details

VAERS ID: 274461 (history)  
Age: 19.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-09
Onset:2006-11-11
   Days after vaccination:2
Submitted: 2007-03-14
   Days after onset:122
Entered: 2007-03-21
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1932AB / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2557AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Rash papular, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itchy rash on both deltoids started 2 days after immunizations received. Rash is fine and papular.


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