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This is VAERS ID 282414

Event Details Report

VAERS ID:282414  Vaccinated:2007-06-19
Age:11.0  Onset:2007-06-19, Days after vaccination: 0
Gender:Female  Submitted:2007-06-20, Days after onset: 1
Location:Florida  Entered:2007-06-20, Days after submission: 0
Life Threatening Illness? No
Died? No
Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Current Illness: None
Diagnostic Lab Data: CBC BLOOD TEST, RESULTS- WBC-6.6;LY-21.8;MO-27.1;GR-51.1;LY-1.4;MO-1.8 & 2 PHYSICIANS CHECKING HER OUT AFTER SHOTS WERE ADMINISTERED
Previous Vaccinations: Christina Aponte~ ()~~11~In Patient
Other Medications:
Preexisting Conditions: Environmental allergies, Chronic asthma, has sensitivity to prlone, & albuterol & allergic to Loribid
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPVUNKNOWN MANUFACTURER 0UNRA
MNQSANOFI PASTEURO2351AA0UNRA
TDUNKNOWN MANUFACTURER 0UNLA
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Full blood count, Granulocyte count increased, Headache, Monocyte count increased, Pain, Pyrexia, White blood cell count
Write-up: 102 fever, headache, dizziness, weak, body aches.Given Motin 200mg(1) for fever & aches

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