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This is VAERS ID 365986

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 365986
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
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

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


Changed on 9/14/2017

VAERS ID: 365986 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
Entered:2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 5 6 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication

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


Changed on 2/14/2018

VAERS ID: 365986 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
Entered:2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 6 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication

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


Changed on 6/14/2018

VAERS ID: 365986 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
Entered:2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 6 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication

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


Changed on 8/14/2018

VAERS ID: 365986 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
Entered:2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 6 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication

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


Changed on 9/14/2018

VAERS ID: 365986 Before After
VAERS Form:1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2009-07-21
Onset:2009-09-04
Submitted:2009-11-09
Entered:2009-11-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
TD: TETANUS DIPHTHERIA (NO BRAND NAME) / UNKNOWN MANUFACTURER 3249AA / 6 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 00874 / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Menstruation irregular, Vaccination complication

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