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This is VAERS ID 284476

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284476
Age:10.0
Gender:Female
Location:Minnesota
Vaccinated:2007-05-22
Onset:2007-05-22
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA04409

Write-up:Information has been received from a physician concerning a 10 year old female who on 22-MAY-2007 was vaccinated IM with 0.5 ml of the first dose of Gardasil. Concomitant therapy included Varivax (MSD) and hepatitis A virus vaccine (unspecified). On 22-MAY-2007 the patient experienced injection site redness, swelling and itching. As of 23-MAY-2007, the patient had not recovered from her experience. Medical attention was sought. Additional information has been requested.


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