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This is VAERS ID 282764

Case Details

VAERS ID: 282764 (history)  
Age: 17.0  
Gender: Female  
Location: Washington  
Vaccinated:2007-06-21
Onset:0000-00-00
Submitted: 2007-06-22
Entered: 2007-06-25
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2107AA / 0 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Erythema, Injection site erythema
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: 2 Hours after vaccine - spreading erythema from site across chest, face. No wheezing; Rx; Benadryl 25mg.


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