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This is VAERS ID 279151

Case Details

VAERS ID: 279151 (history)  
Age: 14.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-14
Onset:2007-05-15
   Days after vaccination:1
Submitted: 2007-05-16
   Days after onset:1
Entered: 2007-05-21
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 03040 / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2454AA / 4 LA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1512F / 1 RA / -

Administered by: Other       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: Redness and swelling right deltoid region after 1 day.


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