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This is VAERS ID 276235

Case Details

VAERS ID: 276235 (history)  
Form: Version 1.0  
Age: 19.0  
Gender: Female  
Location: Massachusetts  
   Days after vaccination:8
Submitted: 2007-04-06
   Days after onset:28
Entered: 2007-04-09
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 654389/0961 / UNK UN / IM

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: AVLANE; FLONASE
Current Illness:
Preexisting Conditions: Seasonal allergy
Diagnostic Lab Data: None
CDC Split Type: WAES0703USA01360

Write-up: Information has been received from a registered nurse concerning a 19 year old female patient with seasonal allergies who on 28, Feb 2007 was vaccinated IM with a 0.5 mL dose of Gardasil lot # 654389/0961F) and has not begun her period. Concomitant therapy included ethinyl estradiol (+) levonorgestrel (AVLANE), as oral contraception, and fluticasone propionate (FLONASE). The nurse reported that the patient took her 3 weeks of active pills and usually begins her period 2 days after beginning the reminder pills. As of 08, Mar 2007 (4 days after beginning the reminder pills), the patient had not begun her period. The patient sought unspecified medical attention. Additional information has been requested.

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