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This is VAERS ID 276665

Case Details

VAERS ID: 276665 (history)  
Form: Version 1.0  
Age: 20.0  
Gender: Female  
Location: Florida  
Vaccinated:2007-03-08
Onset:2007-03-10
   Days after vaccination:2
Submitted: 2007-04-13
   Days after onset:33
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

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: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC Split Type: WAES0703USA02352

Write-up: Information has been received from a physician concerning a 20 year old female who on 08-MAR-2007 was vaccinated with a 0.5 mL dose of Gardasil. On 10-MAR-2007, the patient experienced excessive vaginal bleeding and her period was a week early after receiving Gardasil. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


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