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This is VAERS ID 279674

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279674
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
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: 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 a 19 year old female who was vaccinated with a dose of Gardasil. Subsequently the patient developed amenorrhea. Unspecified medical attention was sought. It was reported the patient planned to disc"ontinued the series of injections. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279674 Before After
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
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: 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) WAES0705USA00497

Write-up:Information has been received from a physician concerning a 19 year old female who was vaccinated with a dose of Gardasil. Subsequently the patient developed amenorrhea. Unspecified medical attention was sought. It was reported the patient planned to disc"ontinued discontinued the series of injections. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279674&WAYBACKHISTORY=ON


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