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This is VAERS ID 692300

Case Details

VAERS ID: 692300 (history)  
Form: Version 1.0  
Age: 12.0  
Gender: Female  
Location: Illinois  
Vaccinated:2007-09-28
Onset:2012-07-10
   Days after vaccination:1747
Submitted: 2017-04-27
   Days after onset:1752
Entered: 2017-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 2 RA / SYR

Administered by: Private       Purchased by: Other
Symptoms: Amenorrhoea, Blood test, Bone densitometry, Scan brain
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: singulair for season allergies
Current Illness: no
Preexisting Conditions: no
Allergies:
Diagnostic Lab Data: All blood work labs that reveal hormone level and ovarian function. Bone density tests, brain scans relevant to reproductive system Now seeing fertility specialist
CDC Split Type:

Write-up: Diagnosed with prolonged amenorrhea. Has had one period on her own. Patient is 22 yrs old.


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