National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 280867

Case Details

VAERS ID: 280867 (history)  
Form: Version 1.0  
Age: 11.0  
Gender: Female  
Location: Texas  
Vaccinated:2007-05-16
Onset:2007-05-18
   Days after vaccination:2
Submitted: 2007-06-07
   Days after onset:20
Entered: 2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0001U / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0267F / 2 RA / SC

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Pain, Rash vesicular, Swelling, Tenderness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Retin-A Micro 0.1% Topical Gel
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Very red, swollen, little larger than quarter sized, and tender 05182007, give tyl for pain and apply ice, mom called back on 05252007 to report Chicken pox rash, advised to give her benadryl


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280867


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