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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:, Opportunistic infections (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:
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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