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This is VAERS ID 692300

History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2017

692300
VAERS Form:
Age:12.0
Gender:Female
Location:Illinois
Vaccinated:2007-09-28
Onset:2012-07-10
Submitted:2017-04-27
Entered:2017-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 1 RA / SYR

Administered by: Private      Purchased by: Other
Symptoms: Amenorrhoea, Bone densitometry, Scan brain, Blood test

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


Changed on 9/14/2017

692300 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Illinois
Vaccinated:2007-09-28
Onset:2012-07-10
Submitted:2017-04-27
Entered:2017-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1062U / 1 2 RA / SYR

Administered by: Private      Purchased by: Other
Symptoms: Amenorrhoea, Bone densitometry, Scan brain, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
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: 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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=692300&WAYBACKHISTORY=ON


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