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This is VAERS ID 365986

Case Details

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
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':
Vaccination
Manufacturer
Lot
Dose
Route
Site
TD: TETANUS DIPHTHERIA (NO BRAND NAME)UNKNOWN MANUFACTURER3249AA5IMLA
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME)UNKNOWN MANUFACTURER008740IMLA
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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