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This is VAERS ID 284511

Case Details

VAERS ID: 284511 (history)  
Age:   
Gender: Female  
Location: Florida  
Vaccinated:0000-00-00
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: Breast pain, Menstruation delayed, Metrorrhagia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Lipodystrophy (broad), Fertility disorders (broad)

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA05431

Write-up: Information has been received from a physician concerning a female who was vaccinated with the second dose of Gardasil. Subsequently the patient has not had a period since her vaccination and has slight vaginal spotting and sore breasts. The physician did not perform a pregnancy test. Medical attention was sought. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning a female who on an unspecified dates was vaccinated with the first and second dose of GARDASIL (lot number unknown). The physician reported the patient has not had a period since her second vaccination. The patient has slight vaginal spotting and sore breasts. The physician did not perform a pregnancy test. Medical attention was sought. Additional information is not provided. Further information is not available.


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