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This is VAERS ID 263240

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263240
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
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 - / IM

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

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

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac trometh"amine (TORADOL). On 30-aUG-2006, the patient felt /"dizzy/" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she /"passed out/" after receiving that injection (also reported as /"dizziness followed by sync


Changed on 12/8/2009

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
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 - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac trometh"amine tromethamine (TORADOL). On 30-aUG-2006, the patient felt /"dizzy/" "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she /"passed out/" "passed out" after receiving that injection (also reported as /"dizziness "dizziness followed by sync syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-09-14 2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0702F / 0 - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: Unknown None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


Changed on 7/31/2010

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Presyncope, Syncope, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


Changed on 8/31/2010

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Presyncope, Syncope, Syncope vasovagal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


Changed on 1/4/2011

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Presyncope, Syncope, Syncope vasovagal, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


Changed on 6/14/2014

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Presyncope, Syncope, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


Changed on 5/14/2017

VAERS ID: 263240 Before After
Age:26.0
Gender:Female
Location:California
Vaccinated:2006-08-30
Onset:2006-08-30
Submitted:2006-10-06
Entered:2006-09-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Presyncope, Syncope, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: TORADOL
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0609USA00066

Write-up:Information has been received from a physician concerning a 26 year old female who on 30-AUG-2006 was vaccinated intramuscularly in her right arm with a 0.5 ml dose of HPV rLi 6 11 16 18 VLP vaccine (yeast). Concomitant therapy included ketorolac tromethamine (TORADOL). On 30-aUG-2006, the patient felt "dizzy" after the injection. The patient was then given a ketorolac tromethamine (TORADOL) injection and she "passed out" after receiving that injection (also reported as "dizziness followed by syncope"). It was reported that the patient was seeing the physician or her pain shot. The syncope occurred after her pain injection. The physician believed this was a vaso vagal response. It was reported that "it was not known if the patient was that she was scheduled to receive". The patient sought unspecified medical attention. It was reported that "she did not her second shot yet". On 30-AUG-2006, "a few minutes after", the patient recovered from the events. Additional information has been requested. This is in follow-up to report (s) previously submitted on 9/14/2006. Initial and follow up information has been received from a physician concerning a 26 year old white female with no other pertinent medical history reported. It was reported that the patient was seeing the physician for her pain shot. On 30-AUG-2006, the patient was vaccinated intramuscularly in her right arm with a 0.5 mL dose of GARDASIL (Lot # 653650/0702F). Subsequently, the patient felt dizzy immediately afterward. It was reported that the patient received a concomitant injection in her right hip reported as TORADOL and she passed out after receiving that injection. The patient developed loss of consciousness times 1 to 2 minutes, followed by diaphoresis, nausea and sedation event consistent with vaso-vagal reaction. The patient sought unspecified medical attention. On 30-AUG-2006, "a few minutes after", the patient had fully recovered from the events. No further information is available.


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