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This is VAERS ID 263220

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263220
Age:22.0
Gender:Female
Location:Illinois
Vaccinated:2006-08-21
Onset:2006-08-21
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness

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

Write-up:Information has been received from a 22 year old female with an allergy to meperidine hydrochloride (DEMEROL) who on 21-AUG-2006 was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ethinyl estradiol/norgestimate (ORTH"O TRI CYCLEN). On 21-AUG-2006, following the vaccination, the patient fainted. Unspecified medical attention was sought. At the time of this report, the patient was recovering. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 263220 Before After
Age:22.0
Gender:Female
Location:Illinois
Vaccinated:2006-08-21
Onset:2006-08-21
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. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI CYCLEN
Current Illness:
Preexisting Conditions: CONCURRENT CONDITIONS: drug hypersensitivity
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0608USA05414

Write-up:Information has been received from a 22 year old female with an allergy to meperidine hydrochloride (DEMEROL) who on 21-AUG-2006 was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ethinyl estradiol/norgestimate (ORTH"O (ORTHO TRI CYCLEN). On 21-AUG-2006, following the vaccination, the patient fainted. Unspecified medical attention was sought. At the time of this report, the patient was recovering. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263220&WAYBACKHISTORY=ON


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