National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276238

Case Details

VAERS ID: 276238 (history)  
Age: 0.33  
Gender: Male  
Location: North Carolina  
Vaccinated:2007-03-02
Onset:0000-00-00
Submitted: 2007-04-06
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

Administered by: Other       Purchased by: Other
Symptoms: Diarrhoea, Inappropriate schedule of drug administration, 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:
Current Illness: Prophylaxis
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA01783

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 single dose by mistake. Concomitant therapy included Dtap (unspecified), IPV, OPV (unspecified). 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 oral electrolyte maintenance (PEDIALYTE) has been ordered. She added that on 16-MAR-2007, the haemophilus influenza type B 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 # 0703USA01289). Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276238


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166