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This is VAERS ID 277857

Case Details

VAERS ID: 277857 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Maryland  
Vaccinated:2007-04-30
Onset:2007-04-30
   Days after vaccination:0
Submitted: 2007-05-03
   Days after onset:3
Entered: 2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00124 / 1 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 42183AA / 1 LA / IM

Administered by: Private       Purchased by: Public
Symptoms: Injection site erythema, Injection site irritation, Injection site pruritus
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flonase, Zaditor
Current Illness: Trichamonis vaginosa and allergic rhinitis
Preexisting Conditions: None.
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt noted pruritis at the injection site on the afternoon after administration followed by erythema and a burning sensation also localized to the injections site. She was seen 4 days later when the erythema measured 13 x 7.5 cm. There were no other sx, constitutional or otherwise.


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