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This is VAERS ID 269258

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269258
Age:
Gender:Female
Location:Ohio
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. - / 0 UN / -

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: UNK
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a female patient who was vaccinated with a first dose of Gardasil vaccine (yeast). Subsequently as the patient was leaving the examination room, the patient fainted. Unspecified medical a"ttention was sought. The patient recovered shortly after fainting. No product quality was involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 269258 Before After
Age:
Gender:Female
Location:Ohio
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. - / 0 UN / -

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: UNK
CDC 'Split Type': (blank) WAES0612USA00978

Write-up:Information has been received from a health professional concerning a female patient who was vaccinated with a first dose of Gardasil vaccine (yeast). Subsequently as the patient was leaving the examination room, the patient fainted. Unspecified medical a"ttention attention was sought. The patient recovered shortly after fainting. No product quality was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269258&WAYBACKHISTORY=ON


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