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This is VAERS ID 281583

Case Details

VAERS ID: 281583 (history)  
Age: 11.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-06-11
Onset:2007-06-12
   Days after vaccination:1
Submitted: 2007-06-13
   Days after onset:1
Entered: 2007-06-14
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 2 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2610AA / 0 RA / -

Administered by: Private       Purchased by: Private
Symptoms: Injection site pain, Injection site swelling, Oedema, Pyrexia
SMQs:, Cardiac failure (broad), Anaphylactic reaction (broad), Angioedema (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rt arm sore and swollen, + 2 edema in office, fever (101.3), Tx with Tylenol, rest and increase fluids.


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