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This is VAERS ID 282959

Case Details

VAERS ID: 282959 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-06-14
Onset:0000-00-00
Submitted: 2007-06-19
Entered: 2007-06-27
   Days after submission:8
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C261005AA / 6 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2224AA / 1 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Inappropriate schedule of drug administration
SMQs:, Medication errors (narrow)

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

Write-up: None


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