National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 397807

Government Disclaimer on use of this data



Case Details

VAERS ID: 397807 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Male  
Location: Missouri  
Vaccinated:2010-09-02
Onset:0000-00-00
Submitted: 2010-09-03
Entered: 2010-09-09
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0850Z / 1 RA / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVAG96AC / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U3463AA / 1 RA / UN
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B061BA / 1 LA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0068Z / 2 LA / UN

Administered by: Public       Purchased by: Public
Symptoms: No adverse event, Wrong drug administered
SMQs:, Medication errors (narrow)

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

Write-up: CERVARIX was given to client instead of GARDASIL. Client had no problems, 1-800-CDC called for guidance - no answer yet.


New Search

Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=397807


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166