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This is VAERS ID 263244

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 263244
Age:20.0
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: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
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 nurse in a physician''''s office concerning a female patient /"in her 20''''s/" who on an unspecified date was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient /"fainted/" after bei"ng given HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). At the time of this report, the outcome of the event was unknown. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 263244 Before After
Age:20.0
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: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0609USA00266

Write-up:Information has been received from a nurse in a physician''''s physician''s office concerning a female patient /"in "in her 20''''s/" 20''s" who on an unspecified date was vaccinated with HPV rLi 6 11 16 18 VLP vaccine (yeast). It was reported that the patient /"fainted/" "fainted" after bei"ng being given HPV rLi 6 11 16 18 VLP vaccine (yeast) (date unknown). At the time of this report, the outcome of the event was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=263244&WAYBACKHISTORY=ON


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