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This is VAERS ID 269191

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269191
VAERS Form:
Age:11.0
Gender:Female
Location:Utah
Vaccinated:2006-09-05
Onset:2006-09-05
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Menstrual disorder

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

Write-up:Information has been received from a physician concerning an 11 year old female who on 05-Sep-2006 was vaccinated intramuscularly with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On approximately 05-Sep-2006, the patient noted her menstrual"cycle increased from every month to every two weeks. The patient sought unspecified medical attention. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 12/8/2009

269191 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Utah
Vaccinated:2006-09-05
Onset:2006-09-05
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menstrual disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA03555

Write-up:Information has been received from a physician concerning an 11 year old female who on 05-Sep-2006 was vaccinated intramuscularly with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On approximately 05-Sep-2006, the patient noted her menstrual"cycle menstrual cycle increased from every month to every two weeks. The patient sought unspecified medical attention. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 9/14/2017

269191 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Utah
Vaccinated:2006-09-05
Onset:2006-09-05
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Menstrual disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA03555

Write-up:Information has been received from a physician concerning an 11 year old female who on 05-Sep-2006 was vaccinated intramuscularly with the first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast). On approximately 05-Sep-2006, the patient noted her menstrual cycle increased from every month to every two weeks. The patient sought unspecified medical attention. At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269191&WAYBACKHISTORY=ON


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