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This is VAERS ID 266788

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

266788
VAERS Form:
Age:21.0
Gender:Female
Location:Oregon
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Panic reaction

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: Advair
Current Illness: odd cough & migranes per patient history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Patient c/o: dizziness, lightheaded, feels as if she is going to have a panic attack, very fatigued.


Changed on 12/8/2009

266788 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Oregon
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Panic reaction

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: Advair
Current Illness: odd cough & migranes per patient history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Patient c/o: dizziness, lightheaded, feels as if she is going to have a panic attack, very fatigued.


Changed on 9/14/2017

266788 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Oregon
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-11-14
Entered:2006-11-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Fatigue, Panic reaction

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: Advair
Current Illness: odd cough & migranes per patient history
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up:Patient c/o: dizziness, lightheaded, feels as if she is going to have a panic attack, very fatigued.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=266788&WAYBACKHISTORY=ON


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