National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 260144

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

260144
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / -
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pains, numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


Changed on 12/8/2009

260144 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / -
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pains, numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


Changed on 2/13/2013

260144 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / - UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / - UN

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pains, pain & numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


Changed on 6/14/2014

260144 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pain & numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


Changed on 3/14/2015

260144 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pain & numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


Changed on 9/14/2017

260144 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-07-25
Entered:2006-07-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0144F / - UNK RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 LA / UN

Administered by: Private      Purchased by: Private
Symptoms: Dyskinesia, Hypertonia, Hypoaesthesia, Hypotonia, Pain, Syncope

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: NONE
Current Illness: Viral with low grade fever
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: BP 90/30 90/62 110/70 110/60, BG 114 Pulse OX 99, Strep culture neg.
CDC 'Split Type':

Write-up:Patient received Hep A in right arm. Then received HPV in left arm. C/O pain & numbness. Started walking down hall fainted and had tonic/clonic movement for 15 sec.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=260144&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166