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This is VAERS ID 276662

Case Details

VAERS ID: 276662 (history)  
Age: 24.0  
Gender: Female  
Location: Michigan  
Vaccinated:2007-03-03
Onset:2007-03-04
   Days after vaccination:1
Submitted: 2007-04-13
   Days after onset:39
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Metrorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: CYCLESSA
Current Illness: Penicillin allergy
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: WAES0703USA02330

Write-up: Information has been received from a health professional concerning a 24 year old female with a penicillin allergy who on 03-MAR-2007 was vaccinated intramuscularly in the left deltoid with the first dose of Gardasil (Lot#654702/0011U). Concomitant therapy included CYCLESSA. On 04-MAR-2007 post vaccination the patient started spotting, menstrual cycle. It was reported that the patient is not pregnant. At the time of this report the spotting, menstrual cycle persisted. The patient sought unspecified medical attention. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/13/2007. Follow up information received from a health professional stated that the dose of GARDASIL was from Lot # 654510/0962F, not lot # 654702/0011U as perviously reported. It was also reported that the patient recovered from the event on 15-Mar-2007. Additional information is not expected.


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