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This is VAERS ID 279631

Case Details

VAERS ID: 279631 (history)  
Form: Version 1.0  
Age: 25.0  
Gender: Female  
Location: California  
Submitted: 2007-05-14
Entered: 2007-05-17
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: Other
Symptoms: Menstruation delayed, Menstruation irregular, Metrorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0704USA06225

Write-up: Information has been received from a physician concerning a 25 year old female patient who on 20-OCT-2006 was vaccinated with her first dose of Gardasil. The patient experienced her menstrual cycle a month late, and changes in flow and also spotting with less blood after receiving her first dose. On 21-DEC-2006 the patient received her second dose of Gardasil and experienced her menstrual cycle 10 days late. On 16-APR-2007 the patient received her third dose of Gardasil. It was reported that the patient developed the same menstrual cycle symptoms after each dose. Medical attention was sought. The patient recovered. Additional information has been requested.

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