This is VAERS ID 291131
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| VAERS ID: | 291131 (history) | Vaccinated: | 2007-09-19 | | Age: | 24.0 | Onset: | 2007-09-19, Days after vaccination: 0 | | Gender: | Female | Submitted: | 2007-09-20, Days after onset: 1 | | Location: | New Jersey | Entered: | 2007-09-21, Days after submission: 1 | |
| 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': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | 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)
| | 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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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=291131
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