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This is VAERS ID 272865

Case Details

VAERS ID: 272865 (history)  
Form: Version 1.0  
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 / 1 - / -

Administered by: Private       Purchased by: Private
Symptoms: Non-consummation, Pregnancy test negative, 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? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
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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