National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279150

Case Details

VAERS ID: 279150 (history)  
Age: 14.0  
Gender: Unknown  
Location: Georgia  
Vaccinated:2007-05-11
Onset:2007-05-12
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0445U / 1 RA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain
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: Uses Flonase, Obar, Claritin for allergies
Current Illness:
Preexisting Conditions: Allergies
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5/11/07 Received Varivax booster RA. On 5/12/07 woke up with small red, tender area at shot site. On 5/13/07 area 7-8 inches in diameter, very tender, raised red, areas. 5/14/07 area of redness decreased. Now erythema 2 inch diameter. Ice and Benadryl advised.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279150


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