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This is VAERS ID 276663

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276663
VAERS Form:
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-12
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Menstruation delayed

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a 12 year old female who on 12-JAN-2007 was vaccinated with the first dose of Gardasil, 0.5 ml, IM. On 12-MAR-2007, the patient was vaccinated with the second dose of Gardasil. Subse"quently, on an unspecified date, the patient missed her menstrual cycle after receiving her first dose of Gardasil. Subsequently in February, the patient''''s menstrual cycle returned to normal and the patient recovered from the event. Additional informatio


Changed on 12/8/2009

276663 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-12
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menstruation delayed

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA02332

Write-up:Information has been received from a licensed practical nurse concerning a 12 year old female who on 12-JAN-2007 was vaccinated with the first dose of Gardasil, 0.5 ml, IM. On 12-MAR-2007, the patient was vaccinated with the second dose of Gardasil. Subse"quently, Subsequently, on an unspecified date, the patient missed her menstrual cycle after receiving her first dose of Gardasil. Subsequently in February, the patient''''s patient''s menstrual cycle returned to normal and the patient recovered from the event. Additional informatio information has been requested.


Changed on 9/14/2017

276663 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-12
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Menstruation delayed

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA02332

Write-up:Information has been received from a licensed practical nurse concerning a 12 year old female who on 12-JAN-2007 was vaccinated with the first dose of Gardasil, 0.5 ml, IM. On 12-MAR-2007, the patient was vaccinated with the second dose of Gardasil. Subsequently, on an unspecified date, the patient missed her menstrual cycle after receiving her first dose of Gardasil. Subsequently in February, the patient''s menstrual cycle returned to normal and the patient recovered from the event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276663&WAYBACKHISTORY=ON


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