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This is VAERS ID 270411

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270411
VAERS Form:
Age:52.0
Gender:Female
Location:Missouri
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 142AA / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Nausea, Pallor, Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient felt faint, nauseated, pale. Patient laid down symptoms resolved after 10 minutes.


Changed on 12/8/2009

270411 Before After
VAERS Form:
Age:52.0
Gender:Female
Location:Missouri
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 142AA / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Nausea, Pallor, Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient felt faint, nauseated, pale. Patient laid down symptoms resolved after 10 minutes.


Changed on 9/14/2017

270411 Before After
VAERS Form:(blank) 1
Age:52.0
Gender:Female
Location:Missouri
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-11
Entered:2007-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 142AA / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Nausea, Pallor, Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient felt faint, nauseated, pale. Patient laid down symptoms resolved after 10 minutes.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=270411&WAYBACKHISTORY=ON


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