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This is VAERS ID 281823

Case Details

VAERS ID: 281823 (history)  
Age: 14.0  
Gender: Female  
Location: Ohio  
Vaccinated:2006-12-06
Onset:2006-12-06
   Days after vaccination:0
Submitted: 2007-05-16
   Days after onset:160
Entered: 2007-05-24
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1142F / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), 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: None
Diagnostic Lab Data: None
CDC Split Type: WAES0612USA01400

Write-up: Information has been received from a physician concerning a 14 year old female, with no medical history, who on 06-DEC-2006 was vaccinated with a second intramuscular dose in the right arm of Varivax (Lot# 655065/1142F). Concomitant vaccine administered on the same day included a first dose in the right arm of Gardasil (Lot# "0916F"). It was reported that, on 06-DEC-2006, the patient''s injection site swelled to the size of a golf ball, and had become red and tender but developed no fever. The patient was treated with ice. At the time of the report the patient was recovering. There were no laboratory diagnostic tests performed. Unspecified medical attention was sought. No product quality complaint was involved. No other information was provided. Additional information has been requested.


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