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This is VAERS ID 263242

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

263242
VAERS Form:
Age:23.0
Gender:Female
Location:California
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: Dizziness, Pallor

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 a 23 year old female. It was reported that it was /"not known if the patient was pregnant, if she was taking any other medications or had a history of drug reactions or allergies./" On an unspeci"fied date, the patient was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient felt /"light headed and dizzy/" after receiving HPV rLi 6 11 16 18 VLP vaccine (yeast). The patient also /"turned very pale/", but did no


Changed on 12/8/2009

263242 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
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: Dizziness, Pallor

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) WAES0609USA00264

Write-up:Information has been received from a physician concerning a 23 year old female. It was reported that it was /"not "not known if the patient was pregnant, if she was taking any other medications or had a history of drug reactions or allergies./" allergies." On an unspeci"fied unspecified date, the patient was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient felt /"light "light headed and dizzy/" dizzy" after receiving HPV rLi 6 11 16 18 VLP vaccine (yeast). The patient also /"turned "turned very pale/", pale", but did no not faint. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


Changed on 9/14/2017

263242 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:California
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 / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Pallor

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': WAES0609USA00264

Write-up:Information has been received from a physician concerning a 23 year old female. It was reported that it was "not known if the patient was pregnant, if she was taking any other medications or had a history of drug reactions or allergies." On an unspecified date, the patient was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient felt "light headed and dizzy" after receiving HPV rLi 6 11 16 18 VLP vaccine (yeast). The patient also "turned very pale", but did not faint. At the time of this report, the outcome of the events were unknown. Additional information has been requested.


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