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This is VAERS ID 278170

Case Details

VAERS ID: 278170 (history)  
Age:   
Gender: Unknown  
Location: Michigan  
Vaccinated:2007-04-18
Onset:2007-04-19
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2138AA / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2688AA / 5 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0117U / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
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: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: On 4-18-07 Patient received 4 shots from our office around 1600. 24 hours later red tender warm area back part of left arm where Varicella was give SQ used ice, Ibuprofen, Benadryl - By 4-22-07 area increase 3" around red, raised, tender- warm to tender, warm to touch - continued comfort treatment - by 4-23-07 4 pm red edematous reactions gone but tender to touch.


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