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This is VAERS ID 279164

Case Details

VAERS ID: 279164 (history)  
Age: 12.0  
Gender: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:2007-03-23
Submitted: 2007-05-14
   Days after onset:52
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

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

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:
CDC Split Type: WAES0704USA01049

Write-up: Information has been received from a physician concerning a 12 year old female who on an unspecified date was vaccinated with the first dose of Gardasil, IM. Concomitant medication was not reported. On 23-MAR-2007, the patient got her period, it has not ended and it has been 14 days as of today. The patient sought unspecified medical attention. The outcome and action taken were not reported. Additional information has been requested.


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