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This is VAERS ID 272865

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

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

Administered by: Private      Purchased by: Unknown
Symptoms: Non-consummation, Pregnancy test negative, Vaginal haemorrhage

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Denies sexual activity
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.


Changed on 12/8/2009

272865 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-11
Onset:2007-01-12
Submitted:2007-02-21
Entered:2007-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Non-consummation, Pregnancy test negative, Vaginal haemorrhage

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Denies sexual activity 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.


Changed on 9/14/2017

272865 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Michigan
Vaccinated:2007-01-11
Onset:2007-01-12
Submitted:2007-02-21
Entered:2007-02-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Non-consummation, Pregnancy test negative, Vaginal haemorrhage

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:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272865&WAYBACKHISTORY=ON


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