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This is VAERS ID 283996

Case Details

VAERS ID: 283996 (history)  
Age: 7.0  
Gender: Male  
Location: Texas  
Vaccinated:2007-06-19
Onset:2007-06-19
   Days after vaccination:0
Submitted: 2007-06-20
   Days after onset:1
Entered: 2007-07-06
   Days after submission:16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB37AAE / 3 - / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 0099U / 2 - / SC
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2638AA / 0 - / IM

Administered by: Public       Purchased by: Other
Symptoms: No adverse effect, Wrong drug administered
SMQs:, Medication errors (narrow)

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

Write-up: No evidence of side effects, HPV vaccine given


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