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This is VAERS ID 272865

Case Details

VAERS ID: 272865 (history)  
Age: 13.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-01-11
Onset:2007-01-12
   Days after vaccination:1
Submitted: 2007-02-21
   Days after onset:40
Entered: 2007-02-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / -

Administered by: Private       Purchased by: Private
Symptoms: Non-consummation, Pregnancy test negative, Vaginal haemorrhage
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Denies sexual activity, PG test neg.
CDC Split Type:

Write-up: Vaginal bleeding started day after receiving Gardasil vaccine. Bleeding is persistent (Moderate-severe) and still present LMP 12/28/02 ended 01/02/07. Onset menses 10 year age.


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