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This is VAERS ID 269257

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269257
Age:
Gender:Female
Location:Tennessee
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. - / - UN / IM

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

Write-up:Information has been received from a physician concerning a female (NOS) who was vaccinated on an unknown date intramuscularly with Gardasil vaccine (yeast) (Lot# not provided). Subsequently the patient fainted. Subsequently, the patient recovered from th"e syncope. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269257 Before After
Age:
Gender:Female
Location:Tennessee
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. - / - UN / IM

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: UNK
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0612USA00968

Write-up:Information has been received from a physician concerning a female (NOS) who was vaccinated on an unknown date intramuscularly with Gardasil vaccine (yeast) (Lot# not provided). Subsequently the patient fainted. Subsequently, the patient recovered from th"e the syncope. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269257&WAYBACKHISTORY=ON


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