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This is VAERS ID 276227

Case Details

VAERS ID: 276227 (history)  
Age: 0.33  
Gender: Male  
Location: North Carolina  
Vaccinated:2007-03-02
Onset:2007-03-02
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:34
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 0 UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
IPV: POLIO VIRUS, INACT. (NO BRAND NAME) / UNKNOWN MANUFACTURER - / 1 UN / UN
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Wrong drug administered
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: hib conj vaccine (unspecified)
Current Illness: Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01289

Write-up: Information has been received from two consumers, the mother and father of a 4 month old male infant, who on 02-MAR-2007 was vaccinated with a single dose Gardasil by mistake. Concomitant therapy included Dtap (unspecified), IPV (unspecified), OPV (unspecified) and Prevnar. The mother and father of the child reported that their son should have received the "HIB" vaccine (not specified) "but instead (was) given (Gardasil)." On 20-MAR-2007, the mother of the infant reported that the child had been experiencing "diarrhea for over a week," and reported that Pedialyte had been ordered. She added that on 16-MAR-2007, the HIB vaccine was administered. The mother stated that her child did "not appear dehydrated," and continued to have "wet diapers." The patient''s twin brother also experienced the events as described above after vaccination with Gardasil (WAES # 0703USA01783). Additional information has been requested.


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