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This is VAERS ID 266497

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 266497
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-10
Entered:2006-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Disorientation, Dizziness, Dyspnoea, Nausea, Syncope

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

Write-up:Patient fainted in waiting area less than five minutes after receiving Gardasil injection. Patient disoriented and c/o difficulty breathing when roused. C/O nausea, dizziness. Sent to ER & diagnosed as vasovagal syncope. Patient c/o sores in genital area"3 days post vaccination. Upon visit to doctor, diagnosed with Condyloma.


Changed on 12/8/2009

VAERS ID: 266497 Before After
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-10
Entered:2006-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Disorientation, Dizziness, Dyspnoea, Nausea, Syncope

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

Write-up:Patient fainted in waiting area less than five minutes after receiving Gardasil injection. Patient disoriented and c/o difficulty breathing when roused. C/O nausea, dizziness. Sent to ER & diagnosed as vasovagal syncope. Patient c/o sores in genital area"3 area 3 days post vaccination. Upon visit to doctor, diagnosed with Condyloma.


Changed on 5/14/2017

VAERS ID: 266497 Before After
Age:17.0
Gender:Female
Location:Indiana
Vaccinated:2006-10-30
Onset:2006-10-30
Submitted:2006-11-10
Entered:2006-11-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Disorientation, Dizziness, Dyspnoea, Nausea, Syncope, Syncope vasovagal

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

Write-up:Patient fainted in waiting area less than five minutes after receiving Gardasil injection. Patient disoriented and c/o difficulty breathing when roused. C/O nausea, dizziness. Sent to ER & diagnosed as vasovagal syncope. Patient c/o sores in genital area 3 days post vaccination. Upon visit to doctor, diagnosed with Condyloma.


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