National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 262872

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 262872
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2006-09-02
Onset:2006-09-02
Submitted:2006-09-02
Entered:2006-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 08007 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope, Tonic clonic movements

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

Write-up:Immediately after vaccine administration patient had syncopal episode with tonic posturing fell from table. Responded with gentle stimulation versus normal 5 minutes post regaining full consciousness.


Changed on 12/8/2009

VAERS ID: 262872 Before After
Age:11.0
Gender:Female
Location:Florida
Vaccinated:2006-09-02
Onset:2006-09-02
Submitted:2006-09-02
Entered:2006-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 08007 / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope, Tonic clonic movements

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

Write-up:Immediately after vaccine administration patient had syncopal episode with tonic posturing fell from table. Responded with gentle stimulation versus normal 5 minutes post regaining full consciousness.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=262872&WAYBACKHISTORY=ON


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