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This is VAERS ID 284293

Case Details

VAERS ID: 284293 (history)  
Age: 17.0  
Gender: Female  
Location: Massachusetts  
Vaccinated:2007-06-26
Onset:2007-06-29
   Days after vaccination:3
Submitted: 2007-07-11
   Days after onset:12
Entered: 2007-07-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB172AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2226AA / 0 LA / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Arthritis, C-reactive protein increased, Joint effusion, Red blood cell sedimentation rate increased
SMQs:, Systemic lupus erythematosus (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: cefdinir for 10 days starting on 6/6/07 azithromycin for 5 days starting on 5/31
Current Illness: none
Preexisting Conditions: rash to amoxicillin dx''d in 2000
Diagnostic Lab Data: ESR 23 CRP 4.5
CDC Split Type:

Write-up: R hip and knee effusion; seen by orthopedics at ER of Hospital, ESR 23 CRP 4.5 felt to be c/w inflammatory, post-infectious type arthritis


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