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This is VAERS ID 692303

Case Details

VAERS ID: 692303 (history)  
Form: Version 1.0  
Age: 13.0  
Gender: Female  
Location: New Jersey  
Vaccinated:2008-11-01
Onset:2012-07-12
   Days after vaccination:1349
Submitted: 2017-04-27
   Days after onset:1750
Entered: 2017-04-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1522U / 3 RA / UN

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: No
Preexisting Conditions: No
Allergies:
Diagnostic Lab Data: All lab blood tests related to homone and ovarian function. Neurological scans relevant to reproductive system. Bone density tests, numerous doctors.
CDC Split Type:

Write-up: Diagnosed with prolonged amenorrhea. Has had only one period on her own. She is 22 yrs old and now seeing fertility doctor.


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