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This is VAERS ID 271056

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271056
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-23
Entered:2007-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: FOSAMAX, calcium (unspecified)
Current Illness: Osteopenia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 21 year old female with osteopenia who on 11-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot#655165/1425F), intramuscularly in the left arm. Concomitant therapy included FOSAMAX"and calcium (unspecified). Subsequently, on 11-JAN-2007, the patient /"passed out/", /"fainted/", was dizzy and nauseated. The patient recovered. There were relevant diagnostic or laboratory tests. It was noted that the patient had eaten before vaccinatio


Changed on 12/8/2009

271056 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-23
Entered:2007-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: FOSAMAX, calcium (unspecified)
Current Illness: Osteopenia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0701USA01725

Write-up:Information has been received from a registered nurse concerning a 21 year old female with osteopenia who on 11-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot#655165/1425F), intramuscularly in the left arm. Concomitant therapy included FOSAMAX"and FOSAMAX and calcium (unspecified). Subsequently, on 11-JAN-2007, the patient /"passed out/", /"fainted/", "passed out", "fainted", was dizzy and nauseated. The patient recovered. There were relevant diagnostic or laboratory tests. It was noted that the patient had eaten before vaccinatio vaccination. Unspecified medical attention was sought. The reporter considered the patient''s experience to be disabling because the patient was incapacitated for a short time. Additional information has been requested.


Changed on 9/14/2017

271056 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-01-11
Onset:2007-01-11
Submitted:2007-01-23
Entered:2007-01-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / - UNK - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Nausea, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: FOSAMAX, calcium (unspecified)
Current Illness: Osteopenia
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0701USA01725

Write-up:Information has been received from a registered nurse concerning a 21 year old female with osteopenia who on 11-JAN-2007 was vaccinated with Gardasil vaccine (yeast) (lot#655165/1425F), intramuscularly in the left arm. Concomitant therapy included FOSAMAX and calcium (unspecified). Subsequently, on 11-JAN-2007, the patient "passed out", "fainted", was dizzy and nauseated. The patient recovered. There were relevant diagnostic or laboratory tests. It was noted that the patient had eaten before vaccination. Unspecified medical attention was sought. The reporter considered the patient''s experience to be disabling because the patient was incapacitated for a short time. Additional information has been requested.


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