National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279941

Case Details

VAERS ID: 279941 (history)  
Age: 16.0  
Gender: Female  
Location: Michigan  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-22
Entered: 2007-05-29
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 03666 / 0 LA / SC

Administered by: Public       Purchased by: Private
Symptoms: Injection site erythema, Injection site pruritus, Injection site urticaria
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow)

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

Write-up: 26 hr after receiving varicella vaccine at our clinic pt. c/o Red hive like reaction at injections site-very itchy, given oral Benadryl-calamine to hive like rash with some relief-to continue this until gone or if worse refer to private provider. 5-22-07 parent reports 1 hive like rash-itchy remains at injection site


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279941


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