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This is VAERS ID 283804

Case Details

VAERS ID: 283804 (history)  
Age: 14.0  
Gender: Female  
Location: Ohio  
Vaccinated:2007-03-05
Onset:2007-03-07
   Days after vaccination:2
Submitted: 2007-06-14
   Days after onset:98
Entered: 2007-06-18
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1427F / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U1947AA / 0 RA / UN

Administered by: Private       Purchased by: Private
Symptoms: Menstruation irregular
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:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02020

Write-up: Information has been received from a physician and an LPN concerning a 14 year old female who on 05-MAR-2007 at 10:45 a.m. was vaccinated in the right deltoid with the first 0.5 mL dose of Gardasil (lot# 655619/1427F). Concomitant vaccination given in the right deltoid on 05-MAR-2007 included MENACTRA (lot # U1947AA). It was reported that the patient was vaccinated on day 4 of her menses. Her menses stopped for 2 days and re-started on 07-MAR-2007 and continued through 13-MAR-2007 (described as a normal cycle. During this time she had normal cramps and no treatment was given. Her cycle returned to normal occurring 28 days later. The patient reported that she is on a normal 28-day menstrual cycle since the age of 13 years. The patient was not on birth control. No further information is expected.


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