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This is VAERS ID 284562

Case Details

VAERS ID: 284562 (history)  
Form: Version 1.0  
Age:   
Gender: Female  
Location: Unknown  
Vaccinated:2007-01-30
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: Menstruation delayed
SMQs:, 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: WAES0706USA00074

Write-up: Information has been received from a female consumer who on 30-JAN-2007 was vaccinated with the first dose of Gardasil (0.5 ml). Subsequently the patient stated that as of 31-MAY-2007, she had not gotten her periods. At the time of this report, the patient had not received the second and third doses of the vaccine. The patient did not have a physician at the time of this report. No further information is available.


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