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This is VAERS ID 278024

Case Details

VAERS ID: 278024 (history)  
Age: 18.0  
Gender: Female  
Location: Virginia  
Vaccinated:2007-04-10
Onset:2007-04-12
   Days after vaccination:2
Submitted: 2007-04-27
   Days after onset:15
Entered: 2007-05-07
   Days after submission:10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1967A / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720A / 0 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Erythema, Oedema peripheral, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness:
Preexisting Conditions: No known allergies. No preventative health maintenance
Diagnostic Lab Data:
CDC Split Type: 2007013680

Write-up: Fever, Redness, swollen arm


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