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This is VAERS ID 270061

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270061
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-01-03
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Blindness transient, Dizziness, Headache, Pallor

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

Write-up:information has been received from the mother of a 19 year old female with a drug hypersensitivity to unspecified antibiotics. On 21 Dec 2006, the patient was vaccinated with the first dose of HPV vaccine. There were no concomitant medications reported. O"n 21 Dec 2006, the patient felt like her head was going to burst, she looked pale and was possibly going to faint. The patient developed temporary blindness that lasted about two minutes. The patient sought unspecified medical attention. On 21 Dec 2006, t


Changed on 12/8/2009

270061 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-01-03
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blindness transient, Dizziness, Headache, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: CONCURRENT CONDITIONS: Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0612USA03857

Write-up:information has been received from the mother of a 19 year old female with a drug hypersensitivity to unspecified antibiotics. On 21 Dec 2006, the patient was vaccinated with the first dose of HPV vaccine. There were no concomitant medications reported. O"n On 21 Dec 2006, the patient felt like her head was going to burst, she looked pale and was possibly going to faint. The patient developed temporary blindness that lasted about two minutes. The patient sought unspecified medical attention. On 21 Dec 2006, t the patient had recovered from the events, "after a few minutes". Upon internal review, the temporary blindness was considered to be an other important medical event (OMIC). Additional information has been requested.


Changed on 9/14/2017

270061 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Florida
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-01-03
Entered:2007-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Blindness transient, Dizziness, Headache, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: CONCURRENT CONDITIONS: Drug hypersensitivity
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0612USA03857

Write-up:information has been received from the mother of a 19 year old female with a drug hypersensitivity to unspecified antibiotics. On 21 Dec 2006, the patient was vaccinated with the first dose of HPV vaccine. There were no concomitant medications reported. On 21 Dec 2006, the patient felt like her head was going to burst, she looked pale and was possibly going to faint. The patient developed temporary blindness that lasted about two minutes. The patient sought unspecified medical attention. On 21 Dec 2006, the patient had recovered from the events, "after a few minutes". Upon internal review, the temporary blindness was considered to be an other important medical event (OMIC). Additional information has been requested.


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