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This is VAERS ID 365986
VAERS ID: 365986 (history) Vaccinated: 2009-07-21 Age: 12.0 Onset: 2009-09-04, Days after vaccination: 45 Gender: Female Submitted: 2009-11-09, Days after onset: 66 Location: Texas Entered: 2009-11-09
Life Threatening? No
Permanent Disability? No Recovered? Yes
ER or Doctor Visit? No Hospitalized? No Previous Vaccinations: Other Medications: The vaccine in Box 13 at top, above is suppose to be Gardasil but there is not an option to pick this vaccine. Manufacturer is Merck, lot 00874 and given on 7-21-09 Current Illness: No Preexisting Conditions: No Diagnostic Lab Data: CDC Split Type:
Vaccination Manufacturer Lot Dose Route Site TD: TETANUS DIPHTHERIA (NO BRAND NAME) UNKNOWN MANUFACTURER 3249AA 5 IM LA UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) UNKNOWN MANUFACTURER 00874 0 IM LA
Administered by: Private Purchased by: Private Symptoms: Menstruation irregular,
Vaccination complication SMQs:, Fertility disorders (broad)
Write-up: Had first 2 periods of her life on 7/6/09 and 8/3/09 and then on 9/04 missed period. Period returned on 10/4/09. This is happening all of the internet and also to a close friend''s daughter. She missed 2 periods. This needs to be reported as a side effect of Gardasil.
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