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This is VAERS ID 262243

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

262243
VAERS Form:
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Injury, Syncope, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI next AM nl
CDC 'Split Type':

Write-up:Vaccine given after physical. Pt fainted, vasovagal, hit head on carpeted cement floor. Loss of consciousness 1 min, had tonic posturing of right hand only some shaking.


Changed on 12/8/2009

262243 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Injury, Syncope, Tremor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI next AM nl
CDC 'Split Type':

Write-up:Vaccine given after physical. Pt fainted, vasovagal, hit head on carpeted cement floor. Loss of consciousness 1 min, had tonic posturing of right hand only some shaking.


Changed on 5/14/2017

262243 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI next AM nl
CDC 'Split Type':

Write-up:Vaccine given after physical. Pt fainted, vasovagal, hit head on carpeted cement floor. Loss of consciousness 1 min, had tonic posturing of right hand only some shaking.


Changed on 9/14/2017

262243 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Washington
Vaccinated:2006-07-25
Onset:2006-07-25
Submitted:2006-08-28
Entered:2006-08-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 1 RA / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: MRI next AM nl
CDC 'Split Type':

Write-up:Vaccine given after physical. Pt fainted, vasovagal, hit head on carpeted cement floor. Loss of consciousness 1 min, had tonic posturing of right hand only some shaking.


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