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This is VAERS ID 283917

Case Details

VAERS ID: 283917 (history)  
Age: 10.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-29
Onset:0000-00-00
Submitted: 2007-07-05
Entered: 2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0606U / 1 RA / SC

Administered by: Public       Purchased by: Private
Symptoms: Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Well child exam
Preexisting Conditions:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Patient and parent noticed right arm swelling after immunization.


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