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| History of Changes from the VAERS Wayback Machine |
First Appeared on 12/30/2006 | ||
| VAERS ID: | 265107 |
| VAERS Form: | |
| Age: | 20.0 |
| Gender: | Female |
| Location: | Unknown |
| Vaccinated: | 2006-10-19 |
| Onset: | 2006-10-19 |
| Submitted: | 2006-10-19 |
| Entered: | 2006-10-23 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. | 0955F / - | UN / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After receiving Gardasil vaccine #1 pt immediately became lightheaded, weak and sweaty. SX lasted approx 5 minutes. (OMIC).
| Vaccinated: | 2006-10-19 |
| Onset: | 2006-10-19 |
| Submitted: | 2006-10-19 |
| Entered: | 2006-10-23 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. | 0955F / - | UN / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After receiving Gardasil vaccine #1 pt immediately became lightheaded, weak and sweaty. SX lasted approx 5 minutes. (OMIC). Per 60 day follow up: Patient received GARDASIL # 2 on 2/20/07, uneventful.
| Vaccinated: | 2006-10-19 |
| Onset: | 2006-10-19 |
| Submitted: | 2006-10-19 |
| Entered: | 2006-10-23 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0955F / - UNK | UN / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After receiving Gardasil vaccine #1 pt immediately became lightheaded, weak and sweaty. SX lasted approx 5 minutes. (OMIC). Per 60 day follow up: Patient received GARDASIL # 2 on 2/20/07, uneventful.
| Vaccinated: | 2006-10-19 |
| Onset: | 2006-10-19 |
| Submitted: | 2006-10-19 |
| Entered: | 2006-10-23 |
| Vaccination / Manufacturer | Lot / Dose | Site / Route |
| HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0955F / UNK | UN / IM |
Administered by: Unknown Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After receiving Gardasil vaccine #1 pt immediately became lightheaded, weak and sweaty. SX lasted approx 5 minutes. (OMIC). Per 60 day follow up: Patient received GARDASIL # 2 on 2/20/07, uneventful.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=265107&WAYBACKHISTORY=ON
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