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This is VAERS ID 279995

Case Details

VAERS ID: 279995 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-05-22
Onset:0000-00-00
Submitted: 2007-05-22
Entered: 2007-05-30
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 2 RA / IM

Administered by: Public       Purchased by: Public
Symptoms: Unevaluable event
SMQs:

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

Write-up: None noted. 06/07/07-Spoke with reporter, the patients received a second dose of Menactra by mistake.


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