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This is VAERS ID 282662

Case Details

VAERS ID: 282662 (history)  
Age: 11.0  
Gender: Female  
Location: Nebraska  
Vaccinated:2007-06-12
Onset:2007-06-13
   Days after vaccination:1
Submitted: 2007-06-15
   Days after onset:2
Entered: 2007-06-22
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 0 LA / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2228AA / 0 LA / -

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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

Write-up: L arm 4-5 inch area of warmth, redness, mildly indurated - non-tender - Non- itchy, developed approximately 24 hours after injections - treated with ice, Ibuprofen.


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