National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283841

Case Details

VAERS ID: 283841 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: West Virginia  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-06-20
Entered: 2007-07-05
   Days after submission:15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 LA / IM

Administered by: Public       Purchased by: Public
Symptoms: Incorrect dose administered, No adverse effect
SMQs:, Medication errors (narrow)

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

Write-up: No adverse event occurred. Advised by CDC phone contact to report that she had received additional vaccine at another facility.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283841


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166