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This is VAERS ID 275819

Case Details

VAERS ID: 275819 (history)  
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 / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: obesity
Diagnostic Lab Data:
CDC Split Type:

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


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