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This is VAERS ID 275623

Case Details

VAERS ID: 275623 (history)  
Age: 0.0  
Gender: Female  
Location: Colorado  
Vaccinated:1994-10-17
Onset:0000-00-00
Submitted: 2007-04-02
Entered: 2007-04-04
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB143BA / 0 RL / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 LL / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1875AA / 0 RL / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0908F / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Injection site erythema, Injection site swelling, Oedema peripheral
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Medication errors (narrow)

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

Write-up: Right upper arm swelled and turned red. Was given on ABD, steroid and pain killer about Fri PM 13/30/07. Seen again by NP - no meds given at that time. Arm by 4-1-07was red and swollen from elbow elbow to shoulder and was resolving.


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