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This is VAERS ID 277453

Case Details

VAERS ID: 277453 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: New Hampshire  
Vaccinated:2007-04-26
Onset:0000-00-00
Submitted: 2007-04-26
Entered: 2007-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 1 LL / IM

Administered by: Private       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration, Medication error, Unevaluable event
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC Split Type: NH0719

Write-up: Sisters in same exam room; both due to receive HPV vaccine and Menactra. 12 y/o patient received 1 dose of HPV vaccine in each arm, I''m simultaneously, instead of 1 dose HPV and 1 dose Menactra.


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