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This is VAERS ID 273705

Case Details

VAERS ID: 273705 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Unknown  
Vaccinated:2006-12-31
Onset:2007-02-15
   Days after vaccination:46
Submitted: 2007-03-08
   Days after onset:21
Entered: 2007-03-09
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other       Purchased by: Other
Symptoms: Blood test, Infectious mononucleosis
SMQs:

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? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: NONE
CDC Split Type: WAES0702USA04624

Write-up: Information has been received from the mother of a 18 year old female consumer who in late December 2006, was vaccinated 0.5 mL IM with her first dose of Gardasil. The patient came down with mononucleosis on 15-FEB-2007. Unspecified Blood work was performed. The patient was reported as recovered on 19-FEB-2007. No further information is available.


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