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This is VAERS ID 271164

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271164
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2006-10-20
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO EVRA
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type':

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 patien"t 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


Changed on 12/8/2009

VAERS ID: 271164 Before After
Age:15.0
Gender:Female
Location:Illinois
Vaccinated:2006-10-20
Onset:2006-12-19
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Unevaluable event

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO EVRA
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': (blank) 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 patien"t 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 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271164&WAYBACKHISTORY=ON


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