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This is VAERS ID 284324

Case Details

VAERS ID: 284324 (history)  
Age: 12.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2007-06-28
Onset:2007-06-29
   Days after vaccination:1
Submitted: 2007-07-05
   Days after onset:6
Entered: 2007-07-11
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0451U / 1 RA / SC

Administered by: Other       Purchased by: Public
Symptoms: Erythema, Induration
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type:

Write-up: R arm, 5x3 cm zone of erythema, induration this was measured 2 days after the injection.


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