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This is VAERS ID 281395

Case Details

VAERS ID: 281395 (history)  
Age:   
Gender: Female  
Location: Arizona  
Vaccinated:2007-06-05
Onset:2007-06-06
   Days after vaccination:1
Submitted: 2007-06-07
   Days after onset:1
Entered: 2007-06-12
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 017146109 / 0 LA / -
MMRV: MEASLES + MUMPS + RUBELLA + VARICELLA (PROQUAD) / MERCK & CO. INC. 42058AA / 0 LA / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U2109 / 1 RA / -

Administered by: Private       Purchased by: Public
Symptoms: Cold compress therapy, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: Warm, red, pruritic area 2x3" on Right deltoid. Tender to touch. Gave ice/melt on 20 minutes off 20 minutes.


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