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This is VAERS ID 269208

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269208
Age:
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. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

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: phobia
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was /"shot phobic/" who on an unspecified date was vaccinated with Gardasil (yeast) (0.5ml). Subsequently, following vaccination, the patient fainted. Unspecified medical attention was"sought. The patient subsequently recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269208 Before After
Age:
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. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

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: phobia
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0611USA04906

Write-up:Information has been received from a physician concerning a female who was /"shot phobic/" "shot phobic" who on an unspecified date was vaccinated with Gardasil (yeast) (0.5ml). Subsequently, following vaccination, the patient fainted. Unspecified medical attention was"sought. was sought. The patient subsequently recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269208&WAYBACKHISTORY=ON


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