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This is VAERS ID 584882

Case Details

VAERS ID: 584882 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Arizona  
Vaccinated:2015-06-30
Onset:2015-07-02
   Days after vaccination:2
Submitted: 2015-07-07
   Days after onset:5
Entered: 2015-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L001312 / 1 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J29203 / 1 LA / UN
PNC13: PNEUMO (PREVNAR13) / PFIZER/WYETH L58154 / 1 RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. K015993 / 1 LA / SC

Administered by: Private       Purchased by: Private
Symptoms: Herpes zoster
SMQs:

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:
Current Illness:
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Shingles after chickenpox vaccination last week. Tx acyclovir 80mg tab and acyclovir 5% external ointment.


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