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This is VAERS ID 269199

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269199
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Nausea, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''''s mother reported that she was vaccinated subcutaneously. Conflicting informa"tion was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered


Changed on 12/8/2009

VAERS ID: 269199 Before After
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-11-13
Onset:2006-11-13
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. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Hyperhidrosis, Nausea, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA04373

Write-up:Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''''s patient''s mother reported that she was vaccinated subcutaneously. Conflicting informa"tion information was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered administered, the patient experienced nausea, dizziness and sweating. Unspecified medical attention was sought. Subsequentely, the patient recovered from nausea, dizzines and sweating in a few minutes. Additional information has been received from a registered nurse. The nurse reported that her fellow nurse gave the dose of Gardasil (yeast) IM instead of subcutaneous. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 269199 Before After
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other Private      Purchased by: Other Private
Symptoms: Dizziness, Hyperhidrosis, Nausea, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04373

Write-up:Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''s mother reported that she was vaccinated subcutaneously. Conflicting information was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered, the patient experienced nausea, dizziness and sweating. Unspecified medical attention was sought. Subsequentely, the patient recovered from nausea, dizzines and sweating in a few minutes. Additional information has been received from a registered nurse. The nurse reported that her fellow nurse gave the dose of Gardasil (yeast) IM instead of subcutaneous. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 269199 Before After
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Nausea, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04373

Write-up:Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''s mother reported that she was vaccinated subcutaneously. Conflicting information was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered, the patient experienced nausea, dizziness and sweating. Unspecified medical attention was sought. Subsequentely, the patient recovered from nausea, dizzines and sweating in a few minutes. Additional information has been received from a registered nurse. The nurse reported that her fellow nurse gave the dose of Gardasil (yeast) IM instead of subcutaneous. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 269199 Before After
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-11-13
Onset:2006-11-13
Submitted:2006-12-14
Entered:2006-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Hyperhidrosis, Nausea, Incorrect route of drug administration

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0611USA04373

Write-up:Information has been received from a registered nurse concerning her 16 year old daughter who on 13 Nov 2006 was vaccinated with her first dose of Gardasil (yeast). The patient''s mother reported that she was vaccinated subcutaneously. Conflicting information was received from the administering licensed practical nurse who reported that she was positive the patient was vaccinated intramusculaurly into the deltoid area and not subcutaneously. On 13 Nov 2006, a few minutes after the vaccine was administered, the patient experienced nausea, dizziness and sweating. Unspecified medical attention was sought. Subsequentely, the patient recovered from nausea, dizzines and sweating in a few minutes. Additional information has been received from a registered nurse. The nurse reported that her fellow nurse gave the dose of Gardasil (yeast) IM instead of subcutaneous. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269199&WAYBACKHISTORY=ON


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