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This is VAERS ID 263201

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263201
Age:
Gender:Female
Location:New York
Vaccinated:2006-08-02
Onset:2006-08-02
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a female who on 02-AUG-2006 was vaccinated with the first dose of HPV rLi 3 11 16 18 VLP vaccine (yeast). It was reported that the patient fainted /"shortly after receiving the vaccination/"". The nurse did not feel the experience was vaccine related and stated /"the patient was very uneasy with the idea of an injection/". The patient subsequently recovered /"shortly after fainting/". Unspecified medical attention was sought. Additional


Changed on 12/8/2009

VAERS ID: 263201 Before After
Age:
Gender:Female
Location:New York
Vaccinated:2006-08-02
Onset:2006-08-02
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0608USA01129

Write-up:Information has been received from a registered nurse concerning a female who on 02-AUG-2006 was vaccinated with the first dose of HPV rLi 3 11 16 18 VLP vaccine (yeast). It was reported that the patient fainted /"shortly "shortly after receiving the vaccination/"". vaccination". The nurse did not feel the experience was vaccine related and stated /"the "the patient was very uneasy with the idea of an injection/". injection". The patient subsequently recovered /"shortly "shortly after fainting/". fainting". Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263201&WAYBACKHISTORY=ON


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