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This is VAERS ID 272331

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272331
VAERS Form:
Age:
Gender:Female
Location:Washington
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 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a female patient who on an unknown date was vaccinated intramuscularly with the first dose of 0.5 mL of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot# not provided). Subsequently, it was repor"ted that the felt faint post vaccination. The patient sought unspecified medical attention. At the time of this report, it was unknown if the patient had recovered from the event. Additional information has been requested.


Changed on 12/8/2009

272331 Before After
VAERS Form:
Age:
Gender:Female
Location:Washington
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 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0701USA01889

Write-up:Information has been received from a registered nurse concerning a female patient who on an unknown date was vaccinated intramuscularly with the first dose of 0.5 mL of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot# not provided). Subsequently, it was repor"ted reported that the felt faint post vaccination. The patient sought unspecified medical attention. At the time of this report, it was unknown if the patient had recovered from the event. Additional information has been requested.


Changed on 9/14/2017

272331 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Washington
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 1 - / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: NONE
Current Illness:
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0701USA01889

Write-up:Information has been received from a registered nurse concerning a female patient who on an unknown date was vaccinated intramuscularly with the first dose of 0.5 mL of HPV rL1 6 11 16 18 VLP vaccine (yeast) (Lot# not provided). Subsequently, it was reported that the felt faint post vaccination. The patient sought unspecified medical attention. At the time of this report, it was unknown if the patient had recovered from the event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272331&WAYBACKHISTORY=ON


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