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This is VAERS ID 293872

Event Details Report

VAERS ID:293872  Vaccinated:2007-10-18
Age:12.0  Onset:2007-10-19, Days after vaccination: 1
Gender:Female  Submitted:2007-10-21, Days after onset: 2
Location:Washington  Entered:2007-10-22, Days after submission: 1
Life Threatening Illness? No
Died? No
Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Current Illness: Monica was in good health at the time of the vaccination.
Diagnostic Lab Data:
Previous Vaccinations:
Other Medications: None
Preexisting Conditions: None
CDC 'Split Type':
Vaccination
Manufacturer
Lot
Dose
Route
Site
HEPAUNKNOWN MANUFACTURER    
HPVUNKNOWN MANUFACTURER    
MENUNKNOWN MANUFACTURER    
TDAPUNKNOWN MANUFACTURER    
Administered by: Unknown     Purchased by: Unknown
Symptoms: Asthenia, Crying, Headache, Nausea, No reaction on previous exposure to drug, Urticaria
Write-up: Patient has felt weak, nauseated and has broken out in hives repeatedly since she received her immunizations 3 days ago. She was given 4 shots in the same day, TDAP, HEP A, HPV, and Meningococcal. She has not had an allergic reaction to any previous immunizations, nor has she had hives or rashes as reactions to any substance in the past. At the outbreak of the hives we have treated her with the maximum dose of Benadryl which has controlled the rash temporarily, however, it has returned twice. On the third day she began complaining of a severe headache, so bad she began to cry uncontrollably. We gave her ibuprofen and within an hour her headache had improved.

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