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This is VAERS ID 274738

Case Details

VAERS ID: 274738 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-03-14
Entered: 2007-03-16
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Other       Purchased by: Other
Symptoms: Menstruation delayed
SMQs:, Fertility disorders (broad)

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA00291

Write-up: Information has been received a licensed practical nurse (LPN) concerning an approximately 13 year old (''about 13 years of age") female patient who was vaccinated with a dose of Gardasil. Subsequently the nurse reported that the patient''s period (menstrual cycle) is "a little over a week late." At the time of this report, the patient had not recovered. The patient sought unspecified medical attention. Additional information has been requested.


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