This is VAERS ID 282553
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| VAERS ID: | 282553 (history) | Vaccinated: | 2006-12-28 | | Age: | 19.0 | Onset: | 2007-01-01, Days after vaccination: 4 | | Gender: | Female | Submitted: | 2007-05-25, Days after onset: 143 | | Location: | Unknown | Entered: | 2007-06-06, Days after submission: 12 | |
| Life Threatening? No |
| Died? No |
| Permanent Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Previous Vaccinations: | | Other Medications: | | Current Illness: Allergic reaction to antibiotics | | Preexisting Conditions: Rash | | Diagnostic Lab Data: Unknown | | CDC 'Split Type': WAES0702USA00964 | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HEPA: HEP A (VAQTA) | MERCK & CO. INC. | | 0 | UN | UN | |
| Administered by: Other Purchased by: Other | Symptoms: Rash,
Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow)
| | Write-up: Initial information has been received from a nurse practitioner concerning a 19 year old, female, who reportedly developed a rash with Ceclor, whose reported weight was 175 pounds (lbs) and whose reported height was 66 and 1/2 inches (in), who had no illness at the time of vaccination, who on 15-DEC-2006 was vaccinated intramuscularly, into the arm with her first dose of Gardasil, (lot # 653978/0955F), (WAES # 0701USA00254). On 28-DEC-2006 (also reported as 28-DEC-2007), the patient was vaccinated into the left arm with hepatitis A virus vaccine inactivated (Lot # AHAUB1Y1AA), (manufacturer unknown). It was reported that on 01-JAN-2007, the patient developed hives and rash on chest. At the time of report it was unknown if the patient recovered. Additional information has been requested. |
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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282553
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