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This is VAERS ID 284511

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284511
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Unknown
Symptoms: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

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.


Changed on 12/8/2009

284511 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Unknown Other
Symptoms: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) 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 did not perform a pregnancy test. Medical attention was sought. Additional information has been requested.


Changed on 3/2/2010

284511 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 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.


Changed on 6/14/2014

284511 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 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.


Changed on 5/14/2017

284511 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 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.


Changed on 9/14/2017

284511 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
Vaccinated:0000-00-00
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: Breast pain, Menstruation delayed, Metrorrhagia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 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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