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This is VAERS ID 262243

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262243
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
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: 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

VAERS ID: 262243 Before After
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
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: 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

VAERS ID: 262243 Before After
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
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: 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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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=262243&WAYBACKHISTORY=ON


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