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This is VAERS ID 283787

Case Details

VAERS ID: 283787 (history)  
Age: 13.0  
Gender: Female  
Location: Pennsylvania  
Vaccinated:2006-11-17
Onset:0000-00-00
Submitted: 2007-06-14
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Amenorrhoea
SMQs:, Fertility disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA01642

Write-up: Information has been received from the mother of a 13 year old female who on 17-NOV-2006 was vaccinated with her second dose of Gardasil. There was no concomitant medication. It was reported that starting in January 2007, the patient had not menstruated. Additional information has been requested.


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