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This is VAERS ID 269163

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269163
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
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

VAERS ID: 269163 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
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.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269163&WAYBACKHISTORY=ON


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