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This is VAERS ID 272338

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272338
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-28
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Arteriogram carotid, Dizziness, Echocardiogram, Loss of consciousness, Paraesthesia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: carotid artery 01/05/07 - result not reported, echocardiography 01/11/07 - result not reported
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies unspecified who on 28-DEC-2006 was vaccinated with Gardasil (yeast) (lot# not reported) injection. Concomitant therapy"unspecified. On 01-Jan-2007, the patient passed out. Medical attention was sought. The patient later reported that she was experiencing light headedness and tingling in her hands and feet on 02-JAN-2007. The patient was referred to a cardiologist. The pat


Changed on 12/8/2009

272338 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-28
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Arteriogram carotid, Dizziness, Echocardiogram, Loss of consciousness, Paraesthesia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: carotid artery 01/05/07 - result not reported, echocardiography 01/11/07 - result not reported
CDC 'Split Type': (blank) WAES0701USA02086

Write-up:Information has been received from a nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies unspecified who on 28-DEC-2006 was vaccinated with Gardasil (yeast) (lot# not reported) injection. Concomitant therapy"unspecified. therapy unspecified. On 01-Jan-2007, the patient passed out. Medical attention was sought. The patient later reported that she was experiencing light headedness and tingling in her hands and feet on 02-JAN-2007. The patient was referred to a cardiologist. The pat patient had a carotid ultrasound and echocardiogram performed on 05-JAN-2007 and 11-JAN-2007, respectively (results not reported). At the time of reporting, the tingling in her hands and feet persisted. No further information was available at the time of reporting. Additional information has been requested.


Changed on 9/14/2017

272338 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2006-12-28
Onset:2007-01-01
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Arteriogram carotid, Dizziness, Echocardiogram, Loss of consciousness, Paraesthesia

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: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: carotid artery 01/05/07 - result not reported, echocardiography 01/11/07 - result not reported
CDC 'Split Type': WAES0701USA02086

Write-up:Information has been received from a nurse concerning an 18 year old female with pertinent medical history and drug reactions/allergies unspecified who on 28-DEC-2006 was vaccinated with Gardasil (yeast) (lot# not reported) injection. Concomitant therapy unspecified. On 01-Jan-2007, the patient passed out. Medical attention was sought. The patient later reported that she was experiencing light headedness and tingling in her hands and feet on 02-JAN-2007. The patient was referred to a cardiologist. The patient had a carotid ultrasound and echocardiogram performed on 05-JAN-2007 and 11-JAN-2007, respectively (results not reported). At the time of reporting, the tingling in her hands and feet persisted. No further information was available at the time of reporting. Additional information has been requested.


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