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This is VAERS ID 282973

Case Details

VAERS ID: 282973 (history)  
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 / 0 - / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0308U / 1 - / 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
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
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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