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This is VAERS ID 279631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279631
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:2006-10-20
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Menstruation delayed, Menstruation irregular, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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 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 d


Changed on 12/8/2009

279631 Before After
VAERS Form:
Age:25.0
Gender:Female
Location:California
Vaccinated:2006-10-20
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Menstruation delayed, Menstruation irregular, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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) 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 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 d developed the same menstrual cycle symptoms after each dose. Medical attention was sought. The patient recovered. Additional information has been requested.


Changed on 9/14/2017

279631 Before After
VAERS Form:(blank) 1
Age:25.0
Gender:Female
Location:California
Vaccinated:2006-10-20
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Menstruation delayed, Menstruation irregular, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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': 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279631&WAYBACKHISTORY=ON


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