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This is VAERS ID 272281

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272281
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Amenorrhoea

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner and healthcare worker concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly with a first 0.5 mL dose of Gardasil (yeast) (lot# not reported). There was no concomitant med"ication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly on 26-DEC-2006. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006.


Changed on 12/8/2009

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amenorrhoea

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and healthcare worker concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly with a first 0.5 mL dose of Gardasil (yeast) (lot# not reported). There was no concomitant med"ication. medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly on 26-DEC-2006. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 2/5/2010

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 653937/0637F / 0 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and healthcare worker concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly with a first 0.5 mL dose of Gardasil (yeast) (lot# not reported). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly on 26-DEC-2006. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Unknown Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653937/0637F 0637F / 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE None
Current Illness:
Preexisting Conditions: NONE None
Allergies:
Diagnostic Lab Data: NONE diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and healthcare worker certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# not reported). 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 4/7/2010

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 8/31/2010

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Amenorrhoea, Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 1/4/2011

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Amenorrhoea, Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 6/14/2014

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 5/14/2017

272281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


Changed on 9/14/2017

272281 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Minnesota
Vaccinated:2006-10-24
Onset:2006-11-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Laboratory test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory, 02/??/07, ok, unspecified tests
CDC 'Split Type': WAES0701USA00441

Write-up:Information has been received from a nurse practitioner and certified medical assistant concerning a 13 year old female who on 24-OCT-2006 was vaccinated intramuscularly into the left deltoid with a first 0.5 mL dose of Gardasil (yeast) (lot# 653937/0637F). There was no concomitant medication. She was administered a second 0.5 ml dose of Gardasil (yeast), intramuscularly (Lot # 653735/0688F) into the right detoid on 26-DEC-2006. There was no illness at the time of vaccination. It was reported that the patient, who has had her regular menses since the age of 10, had not had her regular menses in November 2006 or December 2006. The medical assistant further reported that the patient''s menses stopped in October 2006 after the first dose and she had no menses in November or December 2009. she started her meneses in January 2007 and in Febraury 2007, saw a physician for tests (unspecified). All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. At the time of the report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. All was reported to be ok. The patient reported no other problems and was not reported to be pregnant. Addtional information is not expected.


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