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This is VAERS ID 272291

Case Details

VAERS ID: 272291 (history)  
Form: Version 1.0  
Age: 16.0  
Gender: Female  
Location: West Virginia  
Vaccinated:2006-12-30
Onset:2007-01-01
   Days after vaccination:2
Submitted: 2007-02-14
   Days after onset:44
Entered: 2007-02-15
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / IM

Administered by: Private       Purchased by: Public
Symptoms: Pregnancy test negative, Uterine haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: Urine beta human 01/01/07 negative
CDC Split Type: WAES0701USA00701

Write-up: Information has been received from a registered nurse and physician assistant certified concerning a 16 year old female with on known drug allergies, no illness at time of being vaccinated, and no medical history who on 30-DEC-2006 was vaccinated with first dose of Gardasil (lot #654741/1208F) intramuscularly left deltoid at 1400 hours. There was no concomitant medication. On 01-JAN-2007, at 1400 hours the patient experienced abnormal uterine bleeding (Spotting) uncomplicated and sought medical attention. The patient already had her period (normal menses 27-DEC-2006) and had been "spotting all during this past week". They thought pregnancy was possible so they administered a urine pregnancy test (negative) and she was not pregnant. She had no abdominal pain and no previous history of abnormal uterine bleeding. The outcome of the uterine bleeding was not reported. Additional information has been requested.


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