National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 268189

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

268189
VAERS Form:
Age:19.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-11-30
Entered:2006-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure increased, Dizziness

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: Ortho Tri Cyclen
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:After second dose of a 3 dose series, pt blood pressure increased from normal baseline of 100/60 to 185/135 approx 15-20 minutes after receiving the Gardasil. Pt had near syncopal episode. PT recovered very quickly after ward.


Changed on 12/8/2009

268189 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-11-30
Entered:2006-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure increased, Dizziness

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: Ortho Tri Cyclen
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:After second dose of a 3 dose series, pt blood pressure increased from normal baseline of 100/60 to 185/135 approx 15-20 minutes after receiving the Gardasil. Pt had near syncopal episode. PT recovered very quickly after ward.


Changed on 9/14/2017

268189 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Wisconsin
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2006-11-30
Entered:2006-12-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure increased, Dizziness

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: Ortho Tri Cyclen
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:After second dose of a 3 dose series, pt blood pressure increased from normal baseline of 100/60 to 185/135 approx 15-20 minutes after receiving the Gardasil. Pt had near syncopal episode. PT recovered very quickly after ward.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=268189&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166