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This is VAERS ID 276925

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276925
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-19
Onset:2007-03-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Menorrhagia

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 17 year old female who on 19-MAR-2007 was vaccinated with her third dose of Gardasil (yeast). Since 28-MAR-2007 the patient has had very heavy period and not her usual flow. Unspecified medical a"ttention was sought. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

276925 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-19
Onset:2007-03-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menorrhagia

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA05389

Write-up:Information has been received from a physician concerning a 17 year old female who on 19-MAR-2007 was vaccinated with her third dose of Gardasil (yeast). Since 28-MAR-2007 the patient has had very heavy period and not her usual flow. Unspecified medical a"ttention attention was sought. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

276925 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-19
Onset:2007-03-28
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 3 - / -

Administered by: Other      Purchased by: Other
Symptoms: Menorrhagia

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA05389

Write-up:Information has been received from a physician concerning a 17 year old female who on 19-MAR-2007 was vaccinated with her third dose of Gardasil (yeast). Since 28-MAR-2007 the patient has had very heavy period and not her usual flow. Unspecified medical attention was sought. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276925&WAYBACKHISTORY=ON


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