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This is VAERS ID 276343

Case Details

VAERS ID: 276343 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Louisiana  
Vaccinated:2007-03-26
Onset:2007-03-26
   Days after vaccination:0
Submitted: 2007-03-26
   Days after onset:0
Entered: 2007-04-16
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2061AA / 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2556AA / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Expired drug administered
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: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: LA070401

Write-up: #2 MMR administered expired lot # MSD 0377R (3/24/07) couldn''t update in LINKS


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