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This is VAERS ID 278333

Case Details

VAERS ID: 278333 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-05-07
Onset:0000-00-00
Submitted: 2007-05-08
Entered: 2007-05-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0654F / 2 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: pt given Hep A 0.5 ml injection too early from initial injection. Only 2 months apart instead of 6


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