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This is VAERS ID 291020

Case Details

VAERS ID:291020 (history)  Vaccinated:2007-08-17
Age:14.0  Onset:2007-08-17, Days after vaccination: 0
Gender:Female  Submitted:2007-09-04, Days after onset: 18
Location:Colorado  Entered:2007-09-10, Days after submission: 6
Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Calcium, Advil
Current Illness:
Preexisting Conditions: The patient had no pre-existing medical conditions/allergies and no illness at time of vaccination. Concomitant medications: Advil PRN; Calcium at times.
Diagnostic Lab Data: None
CDC 'Split Type': 200702837
Vaccination
Manufacturer
Lot
Dose
Route
Site
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA)SANOFI PASTEUR  SCUN
VARCEL: VARICELLA (NO BRAND NAME)UNKNOWN MANUFACTURER  UNUN
Administered by: Private     Purchased by: Private
Symptoms: Injection site erythema, Injection site induration, Injection site oedema, Injection site pain, Injection site pruritus, Injection site swelling
SMQs:, Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow)
Write-up: Initial and non-serious report received from the patient''s parent (a healthcare professional) on 20 August 2007. A 14-year-old female with no pre-existing medical conditions or allergies received subcutaneous injections of Menactra (lot number and site not reported) and Varicella (manufacturer, Lot number and site not reported) on 17 August 2007 and that same day she experienced pain and redness at the injection site. The following day, the injection site was very swollen (9x6 inches), indurated, edematous and itchy, with no drainage. The patient was afebrile. It was reported that the patient was to see a doctor. Recovery status had been reported as "not recovered". The patient was previously vaccinated with Gardasil (manufactured by Merck); Lot number and route/site not reported) on 18 July 2007. No additional information had been provided at the time of this report.

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