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This is VAERS ID 279484

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279484
Age:
Gender:Female
Location:Wisconsin
Vaccinated:0000-00-00
Onset:2006-12-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Menstrual disorder

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

Write-up:Information has been received from a registered nurse concerning a female (age not reported) which borderline mental retardation who on an unspecified date was vaccinated with a first dose of Gardasil. On an unspecified date, the patient was vaccinated w"ith a second dose of Gardasil (lot # not reported) 0.5 ml injection. In December 2006, the patient experienced an interruption of her menstrual cycle after receiving the second dose of vaccine. The patient sought medical attention. At the time of reportin


Changed on 12/8/2009

VAERS ID: 279484 Before After
Age:
Gender:Female
Location:Wisconsin
Vaccinated:0000-00-00
Onset:2006-12-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menstrual disorder

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Borderline mental impairment
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA03900

Write-up:Information has been received from a registered nurse concerning a female (age not reported) which borderline mental retardation who on an unspecified date was vaccinated with a first dose of Gardasil. On an unspecified date, the patient was vaccinated w"ith with a second dose of Gardasil (lot # not reported) 0.5 ml injection. In December 2006, the patient experienced an interruption of her menstrual cycle after receiving the second dose of vaccine. The patient sought medical attention. At the time of reportin reporting, the patient had not recovered. No further information was provided at the time of reporting. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279484&WAYBACKHISTORY=ON


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