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This is VAERS ID 277005

Case Details

VAERS ID: 277005 (history)  
Age: 18.0  
Gender: Female  
Location: Colorado  
Vaccinated:2007-04-11
Onset:2007-04-12
   Days after vaccination:1
Submitted: 2007-04-12
   Days after onset:0
Entered: 2007-04-19
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1311F / 1 RA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site bruising, Injection site erythema, Injection site pruritus, Injection site warmth
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), 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: 4/12/07 AT 2:15 pm noted area at injection site slight itching - looked bruised - now red and hot to touch. 50mm X 35mm. No difficulty breathing, swelling, itching on other areas. Advised Benadryl PRN.


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