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This is VAERS ID 276564

Case Details

VAERS ID: 276564 (history)  
Age: 17.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-23
Onset:0000-00-00
Submitted: 2007-04-10
Entered: 2007-04-17
   Days after submission:7
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Dysfunctional uterine bleeding
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data: Pending
CDC Split Type:

Write-up: Dysfunctional uterine bleeding, without prior history of said WT = 100 lb.


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