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This is VAERS ID 281688

Case Details

VAERS ID: 281688 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-06-13
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2226AA / 2 LA / IM

Administered by: Public       Purchased by: Military
Symptoms: Inappropriate schedule of drug administration, No adverse effect
SMQs:, Medication errors (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient was given 2nd Menactra vaccine. First vaccine was not on client record. No reaction.


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