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This is VAERS ID 276922

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276922
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a me"nstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''''s outcome was reported as not recovered. No product quality complaint was


Changed on 12/8/2009

276922 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a me"nstrual menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''''s patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

276922 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 - UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR 41967AA / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of GARDASIL (lot # 655617/1447F). Concomitant medication included VAQTA (lot# 1209F) and MENACTRA (lot# 41967AA) intramuscular. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007. Unspecified medical attention was sought. Since patient is not sexually active and is not pregnant, the family elected to wait until the return of her menses before giving the 2nd dose of GARDASIL. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 4/7/2010

276922 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 41967AA / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of GARDASIL (lot # 655617/1447F). Concomitant medication included VAQTA (lot# 1209F) and MENACTRA (lot# 41967AA) intramuscular. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007. Unspecified medical attention was sought. Since patient is not sexually active and is not pregnant, the family elected to wait until the return of her menses before giving the 2nd dose of GARDASIL. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

276922 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 41967AA / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of GARDASIL (lot # 655617/1447F). Concomitant medication included VAQTA (lot# 1209F) and MENACTRA (lot# 41967AA) intramuscular. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007. Unspecified medical attention was sought. Since patient is not sexually active and is not pregnant, the family elected to wait until the return of her menses before giving the 2nd dose of GARDASIL. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 5/14/2017

276922 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 41967AA / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of GARDASIL (lot # 655617/1447F). Concomitant medication included VAQTA (lot# 1209F) and MENACTRA (lot# 41967AA) intramuscular. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007. Unspecified medical attention was sought. Since patient is not sexually active and is not pregnant, the family elected to wait until the return of her menses before giving the 2nd dose of GARDASIL. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

276922 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-24
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1209F / - UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 0 1 UN / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR 41967AA / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA05361

Write-up:Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of Gardasil (yeast) (lot # 655617/1447F). There was no concomitant medication. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007 and the patient is not sexually active. Unspecified medical attention was sought. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female who on 24-Jan-2007 was vaccinated with her first dose of GARDASIL (lot # 655617/1447F). Concomitant medication included VAQTA (lot# 1209F) and MENACTRA (lot# 41967AA) intramuscular. The patient has not had a menstrual cycle since being vaccinated. The last menstrual cycle started on 03-Jan-2007. Unspecified medical attention was sought. Since patient is not sexually active and is not pregnant, the family elected to wait until the return of her menses before giving the 2nd dose of GARDASIL. The patient''s outcome was reported as not recovered. No product quality complaint was involved. Additional information has been requested.


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