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This is VAERS ID 276246

Case Details

VAERS ID: 276246 (history)  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:2007-02-19
Onset:2007-02-19
   Days after vaccination:0
Submitted: 2007-04-06
   Days after onset:45
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0800F / - UN / -

Administered by: Other       Purchased by: Other
Symptoms: Drug administered at inappropriate site
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA04414

Write-up: Information has been received from a physician concerning a patient (age and gender unknown) who on 19-FEB-2007 was vaccinated with Gardasil (Lot number 654540/0800F). on 19-FEB-2007 the patient the received vaccine in the bottom. No further information is available.


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