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This is VAERS ID 267425

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 267425
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant th"erapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequen


Changed on 12/8/2009

VAERS ID: 267425 Before After
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0610USA06154

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant th"erapy therapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequen Subsequently, on 02-OCT-2006, the patient recovered. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 267425 Before After
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 - RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: UNK Unknown
CDC 'Split Type': WAES0610USA06154

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant therapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequently, on 02-OCT-2006, the patient recovered. Additional information has been requested. 01/05/2007 Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who at 8:30 AM on 02-OCT-2006 was vaccinated intramuscularly in the upper right arm with a 0.5 ml first dose of GARDASIL (lot 653978/0955F). Concomitant therapy included WELLBUTRIN XL, CATAFLAM and PAXIL. The patient stated that she faints when given shots. On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient felt fine after vaccination. The patient was advised to sit in the waiting room for at least 10 minutes before driving. Someone went to check on the patient, and the patient stated she thought she went out. The patient walked to a room to lie down. The patient felt fine later, left office, and was considered recovered. No additional information is expected.


Changed on 7/31/2010

VAERS ID: 267425 Before After
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0610USA06154

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant therapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequently, on 02-OCT-2006, the patient recovered. Additional information has been requested. 01/05/2007 Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who at 8:30 AM on 02-OCT-2006 was vaccinated intramuscularly in the upper right arm with a 0.5 ml first dose of GARDASIL (lot 653978/0955F). Concomitant therapy included WELLBUTRIN XL, CATAFLAM and PAXIL. The patient stated that she faints when given shots. On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient felt fine after vaccination. The patient was advised to sit in the waiting room for at least 10 minutes before driving. Someone went to check on the patient, and the patient stated she thought she went out. The patient walked to a room to lie down. The patient felt fine later, left office, and was considered recovered. No additional information is expected.


Changed on 6/14/2014

VAERS ID: 267425 Before After
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0610USA06154

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant therapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequently, on 02-OCT-2006, the patient recovered. Additional information has been requested. 01/05/2007 Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who at 8:30 AM on 02-OCT-2006 was vaccinated intramuscularly in the upper right arm with a 0.5 ml first dose of GARDASIL (lot 653978/0955F). Concomitant therapy included WELLBUTRIN XL, CATAFLAM and PAXIL. The patient stated that she faints when given shots. On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient felt fine after vaccination. The patient was advised to sit in the waiting room for at least 10 minutes before driving. Someone went to check on the patient, and the patient stated she thought she went out. The patient walked to a room to lie down. The patient felt fine later, left office, and was considered recovered. No additional information is expected.


Changed on 5/14/2017

VAERS ID: 267425 Before After
Age:25.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-10-02
Onset:2006-10-02
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: WELLBUTRIN XL; CATAFLAM; PAXIL
Current Illness: Anxiety; Depression; Mass
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0610USA06154

Write-up:Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who on 02-OCT-2006 was vaccinated with IM in the upper arm with a 0.5 mL first dose of HPV (lot 653978/0955F). Concomitant therapy included bupropion HCl (WELLBUTRIN XL), diclofenac potassium (CATAFLAM) and paroxetine HCl (PAXIL). On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient received unspecified medical attention. Subsequently, on 02-OCT-2006, the patient recovered. Additional information has been requested. 01/05/2007 Information has been received from a physician concerning a 25 year old female with anxiety, depression and a lump in her vagina who at 8:30 AM on 02-OCT-2006 was vaccinated intramuscularly in the upper right arm with a 0.5 ml first dose of GARDASIL (lot 653978/0955F). Concomitant therapy included WELLBUTRIN XL, CATAFLAM and PAXIL. The patient stated that she faints when given shots. On 02-OCT-2006, ten minutes post vaccination, the patient passed out for a few seconds. The patient felt fine after vaccination. The patient was advised to sit in the waiting room for at least 10 minutes before driving. Someone went to check on the patient, and the patient stated she thought she went out. The patient walked to a room to lie down. The patient felt fine later, left office, and was considered recovered. No additional information is expected.


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