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This is VAERS ID 272287

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272287
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness

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 physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness a"fter a few minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 12/8/2009

272287 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness

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) WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness a"fter after a few minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 2/5/2010

272287 Before After
VAERS Form:
Age:(blank) 15.0
Gender:Female
Location:Michigan
Vaccinated:0000-00-00 2006-12-29
Onset:0000-00-00 2006-12-29
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

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': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested.


Changed on 5/11/2010

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-02-14 2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / - UN

Administered by: Other Private      Purchased by: Other
Symptoms: Loss of consciousness

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 No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 7/31/2010

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 8/31/2010

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness, Stomach discomfort

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 1/4/2011

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness, Stomach discomfort

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 6/14/2014

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 5/14/2017

272287 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


Changed on 9/14/2017

272287 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2006-12-29
Onset:2006-12-29
Submitted:2007-04-06
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fall, Loss of consciousness

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: UNK
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0701USA00616

Write-up:Information has been received from a physician concerning a female patient who on an unspecified date was vaccinated with the first dose of Gardasil. subsequently, following vaccination, the patient loss consciousness. The patient regained consciousness after a few minutes. Unspecified medical attention was sought. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Information has been received from a physician and a medical assistant concerning a 15 year old female with no past medical history, who on 29-DEC-2006, at 11:15 AM was vaccinated in the right arm with the first dose of GARDASIL (0.5 ml). There were no illnesses at time of vaccination. Subsequently, following vaccination, on 29-DEC-2006 at 11:20 AM the patient felt week and dizzy, then stated that she felt sick to her stomach. The patient suddenly fell forward into her mother''s arms, and passed out. The patient was passed out for less then a minute. The patient was given something to eat and drink and was kept in the office for 30 minutes. After the 30 minutes, the patient stated that she was fine. No further information is expected.


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