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This is VAERS ID 277453

Case Details

VAERS ID: 277453 (history)  
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 / 0 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
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: 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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