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

This is VAERS ID 626960

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Case Details

VAERS ID: 626960 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Male  
Location: South Carolina  
Vaccinated:2016-02-29
Onset:2016-03-02
   Days after vaccination:2
Submitted: 2016-03-11
   Days after onset:9
Entered: 2016-03-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV9: HPV (GARDASIL 9) / MERCK & CO. INC. L045711 / 2 LA / UN
MENB: MENINGOCOCCAL B (TRUMENBA) / PFIZER/WYETH M13065 / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENVEO) / NOVARTIS VACCINES AND DIAGNOSTICS A1053 / 2 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Erythema, Induration, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Autism; ADHD
Allergies:
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 3 cm erythema induration in (L) arm w/arm pain.


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