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This is VAERS ID 282875

Case Details

VAERS ID: 282875 (history)  
Age: 14.0  
Gender: Female  
Location: New Mexico  
Vaccinated:2007-06-13
Onset:2007-06-14
   Days after vaccination:1
Submitted: 2007-06-19
   Days after onset:5
Entered: 2007-06-26
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 1 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0339U / 1 LA / SC

Administered by: Public       Purchased by: Public
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

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

Write-up: On 6/13/07 client was given Gardasil and VAR vaccines at public health office. Family reports client began to have reaction to VAR on 6/14, came to this office 6/15 reporting pain, swelling, itching around site of Varicella vaccine (L) arm-This area, reddened, hot with swelling noted by nurse. They returned that afternoon, reaction somewhat larger, client had headache, itching arm pain. Referred to MD, began antibiotics that eve. soon improved. Resolved by 6/19/07.


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