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This is VAERS ID 272313

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272313
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a registered nurse and a physician via a company representative concerning an 18 year old female who on 27-DEC-2006 was vaccinated intramuscularly with one dose of Gardasil (lot 653978/0955F). On 27-DEC-2006 the patient"passed out after getting Gardasil. The patient sought unspecified medical attention. It was not reported if the patient recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 272313 Before After
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - - / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0701USA01335

Write-up:Information has been received from a registered nurse and a physician via a company representative concerning an 18 year old female who on 27-DEC-2006 was vaccinated intramuscularly with one dose of Gardasil (lot 653978/0955F). On 27-DEC-2006 the patient"passed patient passed out after getting Gardasil. The patient sought unspecified medical attention. It was not reported if the patient recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 272313 Before After
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / - 0 - LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK Unknown
Current Illness:
Preexisting Conditions: UNK None
Diagnostic Lab Data: UNK None
CDC 'Split Type': WAES0701USA01335

Write-up:Information has been received from a registered nurse and a physician via a company representative concerning an 18 year old female who on 27-DEC-2006 was vaccinated intramuscularly with one dose of Gardasil GARDASIL (lot 653978/0955F). On 27-DEC-2006 the patient passed out after getting Gardasil. GARDASIL. The patient sought unspecified medical attention. It was not reported if the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a registered nurse via a company representative concerning an 18 year old female student with no reported allergies who on 27-DEC-2006, at 9:30AM. was vaccinated intramuscularly into the left deltoid with a first dose of GARDASIL vaccine (Lot# 653978/0955F). There was no illness at the time of vaccination. Initial information indicated that on 27-DEC-2006 the patient passed out after getting GARDASIL vaccine. Follow-up information from the nurse clarified that the "patient felt faint after the injection but did not faint". The patient told the nurse that she had not eaten so they gave her some "coke" and after she sat for 15 minutes she felt better. The patient was reported as recovered on 27-DEC-2006. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 272313 Before After
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK None
Diagnostic Lab Data: UNK None
CDC 'Split Type': WAES0701USA01335

Write-up:Information has been received from a registered nurse and a physician via a company representative concerning an 18 year old female who on 27-DEC-2006 was vaccinated intramuscularly with one dose of GARDASIL (lot 653978/0955F). On 27-DEC-2006 the patient passed out after getting GARDASIL. The patient sought unspecified medical attention. It was not reported if the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a registered nurse via a company representative concerning an 18 year old female student with no reported allergies who on 27-DEC-2006, at 9:30AM. was vaccinated intramuscularly into the left deltoid with a first dose of GARDASIL vaccine (Lot# 653978/0955F). There was no illness at the time of vaccination. Initial information indicated that on 27-DEC-2006 the patient passed out after getting GARDASIL vaccine. Follow-up information from the nurse clarified that the "patient felt faint after the injection but did not faint". The patient told the nurse that she had not eaten so they gave her some "coke" and after she sat for 15 minutes she felt better. The patient was reported as recovered on 27-DEC-2006. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 272313 Before After
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-27
Onset:2006-12-27
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 LA / IM

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: UNK None
Diagnostic Lab Data: UNK None
CDC 'Split Type': WAES0701USA01335

Write-up:Information has been received from a registered nurse and a physician via a company representative concerning an 18 year old female who on 27-DEC-2006 was vaccinated intramuscularly with one dose of GARDASIL (lot 653978/0955F). On 27-DEC-2006 the patient passed out after getting GARDASIL. The patient sought unspecified medical attention. It was not reported if the patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and follow-up information has been received from a registered nurse via a company representative concerning an 18 year old female student with no reported allergies who on 27-DEC-2006, at 9:30AM. was vaccinated intramuscularly into the left deltoid with a first dose of GARDASIL vaccine (Lot# 653978/0955F). There was no illness at the time of vaccination. Initial information indicated that on 27-DEC-2006 the patient passed out after getting GARDASIL vaccine. Follow-up information from the nurse clarified that the "patient felt faint after the injection but did not faint". The patient told the nurse that she had not eaten so they gave her some "coke" and after she sat for 15 minutes she felt better. The patient was reported as recovered on 27-DEC-2006. Additional information is not expected.


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