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This is VAERS ID 282409

Case Details

VAERS ID: 282409 (history)  
Age: 10.0  
Gender: Female  
Location: Georgia  
Vaccinated:2007-06-19
Onset:2007-06-19
   Days after vaccination:0
Submitted: 2007-06-20
   Days after onset:1
Entered: 2007-06-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0602U / 1 RA / SC

Administered by: Military       Purchased by: Military
Symptoms: Varicella
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient was placed on Floxin 0.3% soln. per Dr. on 6/19/07.
Current Illness: Pt. came in to see Dr. with c/o l ear pain due to swimming and high dived approximately 3 to 4 days.
Preexisting Conditions: Patient came in on 6/19/07 with c/o left ear pain for the last 3 to 4 days patient was sent to ENT clinc per Dr. then diagnosed as having tympanic membrane perforation.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patients father states "child had one bumplike area on mid right cheek on the evening of 6/19/07 did not complain about anything, woke up this morning with several red itchy bumplike areas on forehead and cheeks, only on face nowhere else." Patient and her father came to clinic on 6/20/07 to be seen. Dr. examined patient and determined that patient had mild case of chicken pox, and talked with patient and her father medication was ordered for the patient.


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