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This is VAERS ID 388387

Case Details

VAERS ID: 388387 (history)  
Age: 1.0  
Gender: Female  
Location: Unknown  
Vaccinated:1995-09-28
Onset:0000-00-00
Submitted: 2010-05-14
Entered: 2010-05-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Inappropriate schedule of drug administration, Varicella
SMQs:, Medication errors (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Inappropriate schedule of~HPV (Gardasil)~2~13.00~Patient|No adverse effect~HPV (Gardasil)~2~13.00~Patient
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0907USA00184

Write-up: Information has been received from a certified medical assistant via medical records concerning a 4 year old female who on 28-SEP-1995 was vaccinated with the first dose of MMR II. In approximately 1998 the patient developed chicken pox. The outcome was unknown. On 06-AUG-2007 the patient was vaccinated with the second dose of MMR II. Subsequently, the patient had inappropriate schedule of vaccination of GARDASIL (MSD) (WAES# 0905USA00732). Additional information has been requested.


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