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This is VAERS ID 263238

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

263238
VAERS Form:
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
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: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). Subsequently, the patients fainted after recei"ving HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 12/8/2009

263238 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
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: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0609USA00001

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). Subsequently, the patients fainted after recei"ving receiving HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 1/5/2010

263238 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00001

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). GARDASIL vaccine. Subsequently, the patients fainted after receiving HPV rLi 6 11 16 18 VLP GARDASIL vaccine (yeast) (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 6/14/2014

263238 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00001

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with GARDASIL vaccine. Subsequently, the patients fainted after receiving GARDASIL vaccine (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 5/14/2017

263238 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00001

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with GARDASIL vaccine. Subsequently, the patients fainted after receiving GARDASIL vaccine (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 9/14/2017

263238 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Washington
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-09-14
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00001

Write-up:Information has been received from a physician concerning three patients (age and gender not reported) who on an unspecified date, in the morning, were vaccinated with GARDASIL vaccine. Subsequently, the patients fainted after receiving GARDASIL vaccine (date unknown). It was reported that the patients had not eaten anything. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


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