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This is VAERS ID 269163

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

269163
VAERS Form:
Age:22.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
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':

Write-up:Initial and follow up information has been received from a Nurse Practitioner concerning an approximately 22 year old female patient who in October 2006, was vaccinated IM with a dose of Gardasil (yeast). Subsequently, she experienced nausea, lightheadedn"ess/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 had recovered after 20 minutes. No product quality comp


Changed on 12/8/2009

269163 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown 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': (blank) WAES0610USA15083

Write-up:Initial and follow up information has been received from a Nurse Practitioner concerning an approximately 22 year old female patient who in October 2006, was vaccinated IM with a dose of Gardasil (yeast). Subsequently, she experienced nausea, lightheadedn"ess/lightheaded 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/", "doing fine", and had recovered after 20 minutes. No product quality comp complaint was involved. Additional information has been requested.


Changed on 9/14/2017

269163 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / 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': WAES0610USA15083

Write-up:Initial and follow up information has been received from a Nurse Practitioner concerning an approximately 22 year old female patient who in October 2006, was vaccinated IM with a dose of Gardasil (yeast). 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 had recovered after 20 minutes. No product quality complaint was involved. Additional information has been requested.


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