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This is VAERS ID 284511

Case Details

VAERS ID: 284511 (history)  
Form: Version 1.0  
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. - / 2 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
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
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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