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

This is VAERS ID 409137

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Case Details

VAERS ID: 409137 (history)  
Form: Version 1.0  
Age: 17.0  
Sex: Female  
Location: California  
Vaccinated:2010-11-04
Onset:2010-11-06
   Days after vaccination:2
Submitted: 2010-11-15
   Days after onset:9
Entered: 2010-11-17
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV2: HPV (CERVARIX) / GLAXOSMITHKLINE BIOLOGICALS AHPVA113AA / 2 LA / UN

Administered by: Private       Purchased by: Unknown
Symptoms: Injection site erythema, Injection site induration
SMQs:, Extravasation events (injections, infusions and implants) (broad)

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: no
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: 11/7 - onset red, induration (L) deltoid 2 days after HPV.


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