National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 277918

Case Details

VAERS ID: 277918 (history)  
Age: 13.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2007-04-20
Onset:0000-00-00
Submitted: 2007-04-23
Entered: 2007-05-04
   Days after submission:11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1813BA / 5 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492F / 1 UN / SC

Administered by: Public       Purchased by: Public
Symptoms: Medical device complication, No adverse effect, Wrong drug administered
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:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WV0707

Write-up: Box of DTaP placed with Tdap. Pt given DTaP instead of Tdap. No adverse reactions.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277918


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166