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This is VAERS ID 587993

Case Details

VAERS ID: 587993 (history)  
Form: Version 1.0  
Age: 18.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2015-07-21
Onset:2015-07-22
   Days after vaccination:1
Submitted: 2015-07-22
   Days after onset:0
Entered: 2015-07-27
   Days after submission:5
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. K011325 / 1 LA / IM
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH J28923 / 1 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Malaise, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: RETIN-A 0.1% cream
Current Illness: None
Preexisting Conditions: Mild persistent asthma; Allergic rhinitis
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Erythema, redness, swelling, tenderness left deltoid area centered more around the Meningococcal B vaccine than the HPV 4 vaccine injection site, with fever, malaise. 100.8 degree F temperature.


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