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This is VAERS ID 274193

Case Details

VAERS ID: 274193 (history)  
Form: Version 1.0  
Age: 15.0  
Gender: Female  
Location: California  
Vaccinated:2006-11-13
Onset:2006-11-13
   Days after vaccination:0
Submitted: 2007-03-14
   Days after onset:120
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1203F / 1 - / -

Administered by: Military       Purchased by: Other
Symptoms: Diarrhoea, Epstein-Barr virus test, Full blood count, Lethargy, Nausea, Pseudomononucleosis
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Hypoglycaemia (broad)

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: NONE
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: Epstein-Barr virus, 2/5/07; complete blood cell, 2/5/07
CDC Split Type: WAES0702USA01274

Write-up: Information has been received from a health professional concerning a 15 year old female on 13 Nov 2006 was vaccinated with a first dose of Gardasil. There were no concomitant medications. On approximately 13 Nov 2006 the patient experienced nausea, lethargy and "mono like symptoms." Subsequently, the patient recovered. On 03 Feb 2007, the patient was vaccinated with a second dose of Gardasil. On 03 Feb 2007 the patient experienced nausea, marked lethargy, "mono like symptoms" and diarrhea for 2 days after the vaccination. On 05 Feb 2007, the patient returned to the doctors office and underwent a complete blood cell count and an Epstein-Barr virus antibodies screen. It was reported that "mono" was ruled out. At the time of the report, the patient was recovering. Additional information has been requested.


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