VAERS ID: 261359

AGE: 11| SEX: F|STATE: CA (United States)

Description

Dizzy, nauseated, developed axillary lymphadenopathy on side with Menactra inoculation.

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Symptoms

Dizziness, Lymphadenopathy, Nausea

Vaccines

VAX DATE: 07-13-2006| ONSET DATE: | DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
MENINGOCOCCAL CONJUGATE (MENACTRA) 1 MNQ SANOFI PASTEUR U1920AA LA
HPV (GARDASIL) 1 HPV4 MERCK & CO. INC. 0702F LA
TDAP (ADACEL) 6 TDAP SANOFI PASTEUR C2457AA RA

RECVDATE:08-10-2006
RPT_DATE:07-14-2006
CAGE_YR:11
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:NONE
CUR_ILL:NONE
HISTORY:NONE
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:PVT

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