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This is VAERS ID 271122

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

271122
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient reco"vered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


Changed on 12/8/2009

271122 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:North Carolina
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0612USA02774

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient reco"vered. recovered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


Changed on 2/5/2010

271122 Before After
VAERS Form:
Age:15.0 11.0
Gender:Female
Location:North Carolina
Vaccinated:0000-00-00 2006-11-01
Onset:0000-00-00 2006-11-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0945F / 0 - / -

Administered by: Other      Purchased by: Other
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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02774

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient recovered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


Changed on 6/14/2014

271122 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0945F / 0 - / -

Administered by: Other      Purchased by: Other
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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02774

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient recovered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


Changed on 5/14/2017

271122 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0945F / 0 - / -

Administered by: Other      Purchased by: Other
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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02774

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient recovered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


Changed on 9/14/2017

271122 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:North Carolina
Vaccinated:2006-11-01
Onset:2006-11-01
Submitted:2007-01-16
Entered:2007-01-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0945F / 0 1 - / -

Administered by: Other      Purchased by: Other
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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0612USA02774

Write-up:Information has been received from a Nurse Practitioner concerning a 15 year old female patient who was vaccinated with her first dose of Gardasil. Subsequently, the patient experienced prolonged dizziness. Medical attention was required. The patient recovered. The nurse practitioner reported that she was unsure if the 2nd dose of Gardasil should be administered. Additional information has been requested.


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