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This is VAERS ID 271164

Case Details

VAERS ID: 271164 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-10-20
Onset:2006-12-19
   Days after vaccination:60
Submitted: 2007-01-16
   Days after onset:28
Entered: 2007-01-22
   Days after submission:6
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / IM

Administered by: Other       Purchased by: Other
Symptoms: Unevaluable event
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: ORTHO EVRA
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0701USA00156

Write-up: Information has been received from a registered nurse concerning a 15 year old female who on 20-Oct-2006 was vaccinated with the first dose of Gardasil vaccine (yeast) (lot# not provided). Concomitant therapy included Ortho Evra. On 19-Dec-2006 the patient was diagnosed with mononucleosis by her primary care physician. The patient sought unspecified medical attention. At the time of this report the patient''s mononucleosis persisted. The reporter felt that the mononucleosis was not related to therapy with Gardasil vaccine (yeast). Additional information has been requested.


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