This is VAERS ID 272569

Case Details

VAERS ID:	272569 (history)
Form:	Version 1.0
Age:	13.0
Gender:	Female
Location:	New Hampshire

Vaccinated:	2007-01-25
Onset:	2007-01-27
Days after vaccination:	2
Submitted:	2007-02-19
Days after onset:	23
Entered:	2007-02-19

Vaccination / Manufacturer	Lot / Dose	Site / Route
FLUN3: INFLUENZA (SEASONAL) (FLUMIST) / MEDIMMUNE VACCINES, INC.	500438P / UNK	NS / IN
HPV4: HPV (GARDASIL) / MERCK & CO. INC.	0960F / UNK	LA / IM
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS	- / UNK	RA / IM

Administered by: Private Purchased by: Public
Symptoms: Vaginal 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? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: will be getting tsh, ferritin, and cbc
CDC Split Type:

Write-up: pt recieved HPV #1 on 1/25/07 since vaccine has had period for past 22 days. has not had issues with vaginal bleeding between period before vaccine.

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