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This is VAERS ID 291131

Case Details

VAERS ID: 291131 (history)  
Age: 24.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2007-09-19
Onset:2007-09-19
   Days after vaccination:0
Submitted: 2007-09-20
   Days after onset:1
Entered: 2007-09-21
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
ANTH: ANTHRAX (BIOTHRAX) / EMERGENT BIOSOLUTIONS FAV109 / 5 RA / -

Administered by: Military       Purchased by: Military
Symptoms: Allergy to vaccine, Erythema, Pruritus, Skin nodule
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Sm described area as a "red knot" looks like a pimple and the area is "itchy." Received Gardasil on 9/10/07. Saw provider who stated this was a mild allergy. Benadryl to be taken.


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