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This is VAERS ID 277696

Case Details

VAERS ID: 277696 (history)  
Age: 13.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-04-16
Onset:2007-04-18
   Days after vaccination:2
Submitted: 2007-04-24
   Days after onset:6
Entered: 2007-05-01
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B005CA / 5 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Dermatitis contact, Injection site erythema, Injection site pain, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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

Write-up: pt c/o upper lt arm increased redness. Warm and tenderness Dx: contact dermatitis Cephalexin 500 mg one tablet po tid x 10 days. Local redness to HPV vaccine. Pt instructed to use warm compresses. Ibuprofen and antibiotic.


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