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

This is VAERS ID 407067

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Case Details

VAERS ID: 407067 (history)  
Form: Version 1.0  
Age: 12.0  
Sex: Female  
Location: Alabama  
Vaccinated:2010-11-03
Onset:2010-11-05
   Days after vaccination:2
Submitted: 2010-11-05
   Days after onset:0
Entered: 2010-11-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR UT3569BA / 3 LL / UN
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 1 LL / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Joint swelling, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: SINGULAIR - PO - 5mg
Current Illness: No
Preexisting Conditions: NNDA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Urticarial rash, swelling in ankles & wrists.


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