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This is VAERS ID 262242

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262242
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2006-08-23
Onset:2006-08-23
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0706R / 1 LA / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Fall, Fracture, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vasovagal syncope shortly after receiving hep A and Gardasil vaccine, fell, hit nose on a drawer, loss of consciousness, sent to ER in transport broke nose.


Changed on 12/8/2009

VAERS ID: 262242 Before After
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2006-08-23
Onset:2006-08-23
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) HEP A (VAQTA) / MERCK & CO. INC. 0706R / 1 LA / IM
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Fall, Fracture, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vasovagal syncope shortly after receiving hep A and Gardasil vaccine, fell, hit nose on a drawer, loss of consciousness, sent to ER in transport broke nose.


Changed on 5/14/2017

VAERS ID: 262242 Before After
Age:14.0
Gender:Female
Location:Washington
Vaccinated:2006-08-23
Onset:2006-08-23
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0706R / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Fall, Fracture, Injury, Loss of consciousness, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Vasovagal syncope shortly after receiving hep A and Gardasil vaccine, fell, hit nose on a drawer, loss of consciousness, sent to ER in transport broke nose.


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