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This is VAERS ID 283787

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

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

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
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.


Changed on 9/14/2017

283787 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-11-17
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amenorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283787&WAYBACKHISTORY=ON


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