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This is VAERS ID 282973

Case Details

VAERS ID: 282973 (history)  
Form: Version 1.0  
Age: 9.0  
Gender: Female  
Location: Arizona  
Vaccinated:2007-06-18
Onset:2007-06-19
   Days after vaccination:1
Submitted: 2007-06-20
   Days after onset:1
Entered: 2007-06-27
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. L425F / 1 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U / 2 - / SC

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Large erythematous, indurated area at site of vaccination. Area about 5 cm diameter today, was larger on 6/19/07 per mom.


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