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This is VAERS ID 270249

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 270249
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-30
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 RA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Dysgeusia, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) HPV vaccine (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 3"0 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''''s dizziness and bad taste and headache persisted. It was note that the patient did not


Changed on 12/8/2009

VAERS ID: 270249 Before After
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2006-11-29
Onset:2006-11-30
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 RA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Dysgeusia, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0612USA00474

Write-up:Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) HPV vaccine Gardasil (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 3"0 30 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''''s patient''s dizziness and bad taste and headache persisted. It was note noted that the patient did not have adverse events after her first dose of Gardasil. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 270249 Before After
Age:17.0
Gender:Female
Location:Unknown Maryland
Vaccinated:2006-11-29
Onset:2006-11-30
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Dysgeusia, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES0612USA00474

Write-up:Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) Gardasil (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 30 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''s dizziness and bad taste and headache persisted. It was noted that the patient did not have adverse events after her first dose of Gardasil. The patient sought unspecified medical attention. Additional information has been requested. Follow up information received from a nurse practitioner stated that the vaccination that the patient received on 29-NOV-2006 intramuscularly in her right deltoid was the first dose of GRDASIL (Lot# 653938/0954F), not the second as previously reported. It was also reported that the patient had recovered from the dizziness and bad taste in her mouth. Additional information not requested.


Changed on 6/14/2014

VAERS ID: 270249 Before After
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-29
Onset:2006-11-30
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Dysgeusia, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES0612USA00474

Write-up:Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) Gardasil (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 30 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''s dizziness and bad taste and headache persisted. It was noted that the patient did not have adverse events after her first dose of Gardasil. The patient sought unspecified medical attention. Additional information has been requested. Follow up information received from a nurse practitioner stated that the vaccination that the patient received on 29-NOV-2006 intramuscularly in her right deltoid was the first dose of GRDASIL (Lot# 653938/0954F), not the second as previously reported. It was also reported that the patient had recovered from the dizziness and bad taste in her mouth. Additional information not requested.


Changed on 5/14/2017

VAERS ID: 270249 Before After
Age:17.0
Gender:Female
Location:Maryland
Vaccinated:2006-11-29
Onset:2006-11-30
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 1 RA / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Dysgeusia, Headache

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Adderall Tablets. Zoloft
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': WAES0612USA00474

Write-up:Information has been received from a nurse concerning a 17 year old female who on 29 Nov 2006 was vaccinated with the second dose (first dose date not reported) Gardasil (Lot 653938/0954F). Concomitant therapy included Adderall tablets and Zoloft. On 30 Nov 2006 the patient experienced dizziness, a bad taste in her mouth and a headache. It was reported that the patient was able to attend school that day. The patient''s dizziness and bad taste and headache persisted. It was noted that the patient did not have adverse events after her first dose of Gardasil. The patient sought unspecified medical attention. Additional information has been requested. Follow up information received from a nurse practitioner stated that the vaccination that the patient received on 29-NOV-2006 intramuscularly in her right deltoid was the first dose of GRDASIL (Lot# 653938/0954F), not the second as previously reported. It was also reported that the patient had recovered from the dizziness and bad taste in her mouth. Additional information not requested.


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