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This is VAERS ID 280123

Case Details

VAERS ID: 280123 (history)  
Age: 13.0  
Gender: Female  
Location: Colorado  
Vaccinated:2006-12-14
Onset:2006-12-14
   Days after vaccination:0
Submitted: 2007-05-31
   Days after onset:167
Entered: 2007-05-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0422R / 1 RA / SC

Administered by: Private       Purchased by: Unknown
Symptoms: Immediate post-injection reaction, Injection site pain, Similar reaction on previous exposure to drug
SMQs:, 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: rash to amoxicillin and cefaclor, no birth defects or medical conditions
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Significant pain at injection site immediately upon (and during) both first and second injections (12/14/2006 lot 0688f and 2/16/2007 lot 1447F). Pain decreased rapidly within a minute but ache remained for approximately an hour. Daughter described pain as "worst pain after any injection she''s ever had".


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