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This is VAERS ID 281108

Case Details

VAERS ID: 281108 (history)  
Age: 14.0  
Gender: Female  
Location: California  
Vaccinated:2007-05-11
Onset:2007-06-01
   Days after vaccination:21
Submitted: 2007-06-15
   Days after onset:14
Entered: 2007-06-11
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 1 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2082AA / 0 RA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0369U / 0 LA / -

Administered by: Public       Purchased by: Unknown
Symptoms: Varicella, Varicella post vaccine
SMQs:

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

Write-up: Patient had chickenpox after receiving varicella immunization. Had mild amount of involvement of legs, chrisind face.


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