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This is VAERS ID 280889

Case Details

VAERS ID: 280889 (history)  
Age: 9.0  
Gender: Female  
Location: Oklahoma  
Vaccinated:2007-05-15
Onset:2007-05-17
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Blister, Erythema, Injection site erythema, Injection site induration, Injection site warmth, Tenderness
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Claritin/allergy medication
Current Illness: Allergic rhinitis
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Both HPV (IM) and Varicella (SC) given in (L) upper arm on 5/15/07. Developed slight redness and tenderness and a little blister the day after the vaccine. On 5/17/07 (2 days after vax) developed warm, erythematous, indurated area around injection site-given Rx of Benadryl and Ibuprofen and Calendula cream.


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