National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 271932

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 271932
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-07
Onset:0000-00-00
Submitted:2007-02-07
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) / AVENTIS PASTEUR U22522A / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR UE552AA / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood glucose, Blood glucose normal, Blood pressure normal, Convulsion, Electrocardiogram

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG, Blood sugar
CDC 'Split Type':

Write-up:Patient had a vasovagal syncopal episode with seizure seconds after receiving the vaccine. Checked blood sugar and BP and EKG and everything looked normal. Observed patient in clinic and no problems after.


Changed on 12/8/2009

VAERS ID: 271932 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-07
Onset:0000-00-00
Submitted:2007-02-07
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (FLUZONE) INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR U22522A / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR UE552AA / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood glucose, Blood glucose normal, Blood pressure normal, Convulsion, Electrocardiogram, Electrocardiogram normal, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG, Blood sugar
CDC 'Split Type':

Write-up:Patient had a vasovagal syncopal episode with seizure seconds after receiving the vaccine. Checked blood sugar and BP and EKG and everything looked normal. Observed patient in clinic and no problems after.


Changed on 4/7/2010

VAERS ID: 271932 Before After
Age:14.0 9.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-07
Onset:0000-00-00 2007-02-07
Submitted:2007-02-07
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / AVENTIS PASTEUR SANOFI PASTEUR U22522A / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR UE552AA / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose, Blood glucose normal, Blood pressure normal, Convulsion, Electrocardiogram, Electrocardiogram normal, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG, Blood sugar
CDC 'Split Type':

Write-up:Patient had a vasovagal syncopal episode with seizure seconds after receiving the vaccine. Checked blood sugar and BP and EKG and everything looked normal. Observed patient in clinic and no problems after.


Changed on 5/11/2010

VAERS ID: 271932 Before After
Age:9.0 14.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-02-07
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U22522A / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE552AA / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose, Blood glucose normal, Blood pressure normal, Convulsion, Electrocardiogram, Electrocardiogram normal, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG, Blood sugar
CDC 'Split Type':

Write-up:Patient had a vasovagal syncopal episode with seizure seconds after receiving the vaccine. Checked blood sugar and BP and EKG and everything looked normal. Observed patient in clinic and no problems after.


Changed on 7/7/2013

VAERS ID: 271932 Before After
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-02-07
Entered:2007-02-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U22522A / 0 RA / IM
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U22522A / 0 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0960F / 0 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR UE552AA / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose, Blood glucose normal, Blood pressure normal, Convulsion, Electrocardiogram, Electrocardiogram normal, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: EKG, Blood sugar
CDC 'Split Type':

Write-up:Patient had a vasovagal syncopal episode with seizure seconds after receiving the vaccine. Checked blood sugar and BP and EKG and everything looked normal. Observed patient in clinic and no problems after.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=271932&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166