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This is VAERS ID 276852

Case Details

VAERS ID: 276852 (history)  
Form: Version 1.0  
Age: 17.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-04-13
Entered: 2007-04-16
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -

Administered by: Other       Purchased by: Other
Symptoms: Menstruation delayed, Urine human chorionic gonadotropin
SMQs:, Fertility disorders (broad)

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Beta-human chorionic
CDC Split Type: WAES0703USA04014

Write-up: Information has been received from a physician concerning a 17 or 18 year old female who was vaccinated with Gardasil. Subsequently, the patient experienced delayed menstrual cycle after receiving Gardasil. She underwent a pregnancy test which was negative. The physician advised the patient to contact her after one month if she still did not have a menstrual cycle. Additional information has been requested.


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