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This is VAERS ID 276976

Case Details

VAERS ID: 276976 (history)  
Age:   
Gender: Female  
Location: North Carolina  
Vaccinated:2007-04-13
Onset:2007-04-16
   Days after vaccination:3
Submitted: 2007-04-16
   Days after onset:0
Entered: 2007-04-19
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1282F / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RL / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B065CA / 0 LL / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Lg, tender, erythematous area of approx 8x 11 cm with area of induration 6 x 7 cm, around site of Menactra vaccine. Tender area of eryth. and induration 3 x 6 cm of TDaP vaccine. Both vacc. given 3 days ago. Given Zyrtec 10 mg qd


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