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This is VAERS ID 265955

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 265955
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:0000-00-00
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Hypoaesthesia, Injection site pain, Syncope

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

Write-up:Per pt arm where Gardasil was administered felt painful then numb and then pt fainted for a few seconds.


Changed on 12/8/2009

VAERS ID: 265955 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2006-10-21
Onset:2006-10-21
Submitted:0000-00-00
Entered:2006-11-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -
VARCEL: VARICELLA (VARIVAX) VARICELLA (VARIVAX) / MERCK & CO. INC. - / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hypoaesthesia, Injection site pain, Syncope

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

Write-up:Per pt arm where Gardasil was administered felt painful then numb and then pt fainted for a few seconds.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=265955&WAYBACKHISTORY=ON


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