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This is VAERS ID 279530

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279530
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

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 mononuc"leosis in 2007. The outcome was not reported. Additional information has been requested


Changed on 12/8/2009

279530 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) 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 mononuc"leosis mononucleosis in 2007. The outcome was not reported. Additional information has been requested


Changed on 9/14/2017

279530 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-03
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279530&WAYBACKHISTORY=ON


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