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This is VAERS ID 365986

Case Details

VAERS ID: 365986 (history)  
Age: 12.0  
Gender: Female  
Location: Texas  
Vaccinated:2009-07-21
Onset:2009-09-04
   Days after vaccination:45
Submitted: 2009-11-09
   Days after onset:66
Entered: 2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 5 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 0 LA / IM

Administered by: Private       Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication
SMQs:, Fertility disorders (broad)

Life Threatening? No
Died? 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:

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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