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This is VAERS ID 279530

Case Details

VAERS ID: 279530 (history)  
Age:   
Gender: Unknown  
Location: Unknown  
Vaccinated:2007-02-03
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. - / - UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Infectious mononucleosis
SMQs:

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA04814

Write-up: Information has been received from a registered nurse concerning a patient who on 03-FEB-2007 was vaccinated with the first dose of Gardasil. The patient had not yet received the second dose. The second dose was delayed since the patient developed mononucleosis in 2007. The outcome was not reported. Additional information has been requested


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