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This is VAERS ID 267481

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

267481
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention w"as sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

267481 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
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. - / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention w"as was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested.


Changed on 2/5/2010

267481 Before After
VAERS Form:
Age:(blank) 20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


Changed on 7/31/2010

267481 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


Changed on 12/13/2013

267481 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


Changed on 6/14/2014

267481 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


Changed on 3/14/2015

267481 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

267481 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:New York
Vaccinated:2006-10-01
Onset:2006-10-01
Submitted:2006-11-14
Entered:2006-11-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea, Pallor

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA00728

Write-up:Information has been received from a nurse practitioner concerning a female pt who in Oct 2006, was vaccinated IM with a dose of HPV Vaccine. Subsequently in Oct 2006, she experienced lightheadedness, weakness, pallor, and sweating, No medical attention was sought. The nurse practitioner indicated the pt was doing fine. No product quality complaint was involved. Additional information has been requested. 01/05/2007 Initial and follow up information has been received from a Nurse Practitioner concerning a 20 year old female patient who in October 2006, was vaccinated IM with a dose of GARDASIL. Subsequently, she experienced nausea, lightheadedness /lightheaded feeling/dizziness, weakness, pallor, and sweating but did not lose consciousness. No medical attention was sought. The nurse practitioner indicated the patient was "doing fine" and that she recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=267481&WAYBACKHISTORY=ON


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