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This is VAERS ID 265384

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

265384
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2006-10-23
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0966P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Syncope vasovagal

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:Few minutes after receiving Gardasil vaccine patient had vaso vagal type reaction, weak, dizzy, hot, sweaty. Felt like she was going to faint.


Changed on 12/8/2009

265384 Before After
VAERS Form:
Age:21.0 22.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2006-10-23
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0966P / - - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Syncope vasovagal

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:Few minutes after receiving Gardasil vaccine patient had vaso vagal type reaction, weak, dizzy, hot, sweaty. Felt like she was going to faint.


Changed on 9/14/2017

265384 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2006-10-23
Entered:2006-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0966P / - UNK - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Syncope vasovagal

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:Few minutes after receiving Gardasil vaccine patient had vaso vagal type reaction, weak, dizzy, hot, sweaty. Felt like she was going to faint.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=265384&WAYBACKHISTORY=ON


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