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This is VAERS ID 268146

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 268146
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06.

Changed on 12/8/2009

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 8/31/2010

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 4/13/2011

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 5/13/2011

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 6/11/2011

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 5/14/2017

VAERS ID: 268146 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood potassium decreased, Culture urine positive, Dizziness, Blood urine present, Pregnancy test negative, Vaccination complication, Vertigo, Vomiting, White blood cells urine positive, Scan brain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 9/14/2017

VAERS ID: 268146 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Vertigo

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

Changed on 2/14/2018

VAERS ID: 268146 Before After
VAERS Form:1
Age:23.0
Gender:Female
Location:Illinois
Vaccinated:2006-11-27
Onset:2006-11-28
Submitted:2006-12-01
Entered:2006-12-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Vertigo

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 3     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ortho-Evra patch
Current Illness:
Preexisting Conditions: Previous abnormal pap. PMH: abnormal PAP smear, otherwise healthy. Allergies: NKA.
Allergies:
Diagnostic Lab Data: Labs and Diagnostics: significant for a serum glucose of 146 (after IV with dextrose) and K+ of 3.3. UA showed 2+blood, 5-10 WBCs. UC showed mixed urogenital flora. HCG (-). CT of brain (-).
CDC 'Split Type':

Write-up: Gardasil administered 11/27/06, dizziness 11/28/06, severe vertigo 11/29/06, hospitalized 11/29/06-12/01/06. MR received for ER admit for c/o dizziness, vertigo, and vomiting x2 days beginning within 24 hours of Gardasil vax. PE: WNL and in no distress as long as she holds still. Txd with IV fluids, Valium and Antivert. D/Cd home on Meclizine after 48 hours. Discharge DX: Acute vertigo, possible adverse reaction to Gardasil vaccine. 02/05/2007 Tag-2 received. No new codes.

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