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This is VAERS ID 277202

Case Details

VAERS ID: 277202 (history)  
Age: 11.0  
Gender: Female  
Location: Kansas  
Vaccinated:2007-04-09
Onset:2007-04-10
   Days after vaccination:1
Submitted: 2007-04-16
   Days after onset:6
Entered: 2007-04-23
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 5 LA / -

Administered by: Public       Purchased by: Private
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site warmth, Neck pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad), Arthritis (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Of reports sore, red, hot left upper arm, also pain on the left side of her neck, fatigue and body aches.


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