National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 270005

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270005
VAERS Form:
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2491AA / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR Z0664 / 0 LA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


Changed on 12/8/2009

270005 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2491AA / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR Z0664 / 0 LA / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


Changed on 1/5/2010

270005 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2491AA / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / AVENTIS PASTEUR SANOFI PASTEUR Z0664 / 0 LA / IM

Administered by: Military      Purchased by: Military
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


Changed on 6/14/2014

270005 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2491AA / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Z0664 / 0 LA / IM

Administered by: Military      Purchased by: Military
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


Changed on 5/14/2017

270005 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2491AA / 0 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Z0664 / 0 LA / IM

Administered by: Military      Purchased by: Military
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


Changed on 9/14/2017

270005 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Virginia
Vaccinated:2007-01-03
Onset:2007-01-03
Submitted:2007-01-03
Entered:2007-01-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (ENGERIX-B) / GLAXOSMITHKLINE BIOLOGICALS AHBVB259CA / 0 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 1 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2491AA / 0 1 RA / IM
TYP: TYPHOID VI POLYSACCHARIDE (TYPHIM VI) / SANOFI PASTEUR Z0664 / 0 1 LA / IM

Administered by: Military      Purchased by: Military
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortha Evra
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient became very light headed and dizzy w/in moment of vaccine. Patient was observed and released.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270005&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166