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This is VAERS ID 276694

Case Details

VAERS ID: 276694 (history)  
Age: 12.0  
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-12
Onset:2007-01-12
   Days after vaccination:0
Submitted: 2007-04-13
   Days after onset:90
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Amenorrhoea
SMQs:, Fertility disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0703USA03292

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 a first dose of Gardasil and a second dose on 12-MAR-2007. The patient''s mother reported to the nurse her daughter did not get a period in January 2007 but she in February 2007 and she is not pregnant. Additional information has been requested.


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