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This is VAERS ID 283841

Case Details

VAERS ID: 283841 (history)  
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 / 1 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: No 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.


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