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This is VAERS ID 277698

Case Details

VAERS ID: 277698 (history)  
Age: 18.0  
Gender: Female  
Location: North Carolina  
Vaccinated:2007-04-20
Onset:2007-04-23
   Days after vaccination:3
Submitted: 2007-04-25
   Days after onset:2
Entered: 2007-05-01
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER 1282E / 0 LA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03844 / 0 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RA / UN
TDAP: TDAP (ADACEL) / SANOFI PASTEUR AC52B005CA / 0 RA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration
SMQs:, 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: NC07038

Write-up: 8 cm x 8 cm area of eryth and induration Tdap 4-20-07


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