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This is VAERS ID 269820

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2006

VAERS ID: 269820
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2006-12-27
Onset:2006-12-28
Submitted:2006-12-28
Entered:2006-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) / MERCK & CO. INC. 0961F / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none known
Preexisting Conditions: Allergy Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient fainted after receiving her second dose of Gardisil Vaccine. Patient c/o headache and pain in back of her head. Returned to office 12/28/06 for exam. Still c/o head pain. To call office prn with followup.


Changed on 12/8/2009

VAERS ID: 269820 Before After
Age:20.0
Gender:Female
Location:South Carolina
Vaccinated:2006-12-27
Onset:2006-12-28
Submitted:2006-12-28
Entered:2006-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HUMAN PAPILLOMAVIRUS RECOMBINANT VACCINE, QUADRIVALENT (GARDASIL) HPV (GARDASIL) / MERCK & CO. INC. 0961F / 1 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Headache, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none known
Preexisting Conditions: Allergy Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient fainted after receiving her second dose of Gardisil Vaccine. Patient c/o headache and pain in back of her head. Returned to office 12/28/06 for exam. Still c/o head pain. To call office prn with followup.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=269820&WAYBACKHISTORY=ON


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