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This is VAERS ID 274678

Case Details

VAERS ID: 274678 (history)  
Age: 11.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-03-06
Onset:2007-03-06
   Days after vaccination:0
Submitted: 2007-03-20
   Days after onset:13
Entered: 2007-03-23
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 LA / IM

Administered by: Public       Purchased by: Unknown
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Both arm and elbow itchy.


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