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This is VAERS ID 275819

Case Details

VAERS ID: 275819 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-03-30
Onset:2007-04-01
   Days after vaccination:2
Submitted: 2007-04-02
   Days after onset:1
Entered: 2007-04-09
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1213F / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: 5cc of erythema/induration right u pper arm. Claritin, cool compresses.


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