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This is VAERS ID 283541

Case Details

VAERS ID: 283541 (history)  
Age: 12.0  
Gender: Female  
Location: Colorado  
Vaccinated:2007-06-14
Onset:2007-06-15
   Days after vaccination:1
Submitted: 2007-06-15
   Days after onset:0
Entered: 2007-07-02
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2631AA / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0534U / 1 LA / SC

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Advair for asthma, Albuterol meds for allergies
Current Illness:
Preexisting Conditions: Molds, pollens, dust, peanuts ?cats/dogs.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Has a raised, red area on fatty area of Lt arm. Measures approximately 2" wide x 1 1/2" high - Probably where Varicella given - also outside with mosquito''s?


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