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This is VAERS ID 276006

Case Details

VAERS ID: 276006 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-03-28
Onset:0000-00-00
Submitted: 2007-04-04
Entered: 2007-04-11
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 3 RA / IM

Administered by: Private       Purchased by: Unknown
Symptoms: Inappropriate schedule of drug administration, Medication error
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: ANA (+), arthritis
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Inadvertently gave the 3rd dose 2 days after the 2nd dose (of Gardasil).


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