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This is VAERS ID 279474

Case Details

VAERS ID: 279474 (history)  
Age: 12.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-15
Onset:2007-05-17
   Days after vaccination:2
Submitted: 2007-05-18
   Days after onset:1
Entered: 2007-05-24
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 1 LA / SC

Administered by: Private       Purchased by: Other
Symptoms: Body temperature, Injection site erythema, Injection site induration
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: Retin-A 0.1% Topical cream
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: None ordered
CDC Split Type:

Write-up: 5/15/07 Child came in for well child exam visit; receiving Varicella and HPV vaccine. 5/17/07: Doctor visit progress notes read as follows: immunization 2 days ago, HPV and Varicella. Sibling also here with similar reaction. Temp 97.2F. Physical examination: 1/2 dollar sized area of induration and erythema left arm at injection site. Adv- Benadryl, rech prn.


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