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This is VAERS ID 291131

Case Details

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 BIOSOLUTIONSFAV1095 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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