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This is VAERS ID 279200

Case Details

VAERS ID: 279200 (history)  
Form: Version 1.0  
Age: 18.0  
Gender: Female  
Location: Illinois  
Vaccinated:2006-12-05
Onset:0000-00-00
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: 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? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA02272

Write-up: This is in follow-up to report (s) previously submitted 5/14/2007. Information has been received from a pharmacist, concerning an 18 year old female, who on 05-DEC-2006 was vaccinated with the first dose of Gardasil. The pharmacist reported that the patient was experienced mononucleosis (date unspecified). At the time of this report, it was unknown if the patient had recovered. The patient sought unspecified medical attention. Additional information has been requested. Initial and follow up information has been received from a pharmacist, concerning an 18 year old female, who on 05-DEC-2006 was vaccinated with the first dose of GARDASIL. The pharmacist reported that the patient has experienced monoucleosis (date unspecified). At the time of this report, the patient had fully recovered (date not specified). Follow up information from the pharmacist orginally noted that he "did not think there was any connection" between the vaccination with GARDASIL and the mononuecleosis, however, additional follow up information added that it was "not known if illness was due to injection or not". On 12-APR-2007, after the patient had fully recovered, she received the second dose of GARDASIL. There were no problems reported following the second dose. The patient sought unspecified medical attention. No further information was expected.


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