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This is VAERS ID 279553

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279553
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-02-25
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Amenorrhoea

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

Write-up:Information has been received from a physician concerning an approximately 20 year old female who on approximately 25-FEB-2007 was vaccinated with a first dose of Gardasil. Subsequently the patient developed amenorrhea. Unspecified medical attention was s"ought. It was reported that the patient planned to discontinue the series of injections. At the time of the report, the patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279553 Before After
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-02-25
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05631

Write-up:Information has been received from a physician concerning an approximately 20 year old female who on approximately 25-FEB-2007 was vaccinated with a first dose of Gardasil. Subsequently the patient developed amenorrhea. Unspecified medical attention was s"ought. sought. It was reported that the patient planned to discontinue the series of injections. At the time of the report, the patient''''s patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279553&WAYBACKHISTORY=ON


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