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This is VAERS ID 282262

Case Details

VAERS ID: 282262 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2007-06-01
Onset:2007-06-02
   Days after vaccination:1
Submitted: 2007-06-11
   Days after onset:9
Entered: 2007-06-19
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 1 RA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 1 LA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2632AA / 6 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Injection site cellulitis, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: L arm swollen and warm after vaccination - DX with cellulitis - Tx with Cefzil 500 BID


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