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This is VAERS ID 278697

Case Details

VAERS ID: 278697 (history)  
Age: 18.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-04-23
Onset:2007-04-24
   Days after vaccination:1
Submitted: 2007-04-25
   Days after onset:1
Entered: 2007-05-16
   Days after submission:21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1920AA / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Axillary pain, Fatigue, Injection site erythema, Injection site pain, Malaise, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fever up to 103 F, fatigue, malaise, body aches, redness and pain at Menactra site and pain in L axillary area for 26 hours. 2 cm area of erythema at vaccine site.


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