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This is VAERS ID 272490

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272490
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653938/0954F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure normal, Body temperature increased, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: emotional problems
Diagnostic Lab Data: blood pressure, 11/29/06 112/70; body temp, 11/29/06 100.1f
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 16 year old female student with emotional issues (in counseling) who on 29-NOV-2006, at 4:00 PM, was vaccinated IM into the left arm with a first dose of HPV vaccine (yeast) (lot# 653938/0"954F). There was no illness at the time of vaccination. It was reported that the vaccination was given while the patient was sitting. A few second after the injection, the patient said /"oh/", and leaned to the right slowly to a reclined position and rem


Changed on 12/8/2009

VAERS ID: 272490 Before After
Age:16.0
Gender:Female
Location:Michigan
Vaccinated:2006-11-29
Onset:2006-11-29
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 653938/0954F / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Blood pressure normal, Body temperature increased, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: emotional problems
Diagnostic Lab Data: blood pressure, 11/29/06 112/70; body temp, 11/29/06 100.1f
CDC 'Split Type': (blank) WAES0701USA03460

Write-up:Information has been received from a registered nurse concerning a 16 year old female student with emotional issues (in counseling) who on 29-NOV-2006, at 4:00 PM, was vaccinated IM into the left arm with a first dose of HPV vaccine (yeast) (lot# 653938/0"954F). 653938/0954F). There was no illness at the time of vaccination. It was reported that the vaccination was given while the patient was sitting. A few second after the injection, the patient said /"oh/", "oh", and leaned to the right slowly to a reclined position and rem remained conscious but stiffened. She was awake. The doctor checked on her and stated that she was having a vagal response. After reclining 5-10 minutes, she said she was ok. Her blood pressure was 112/78 and temperature was 100.1F. The nurse noted that the patient was dressed in multiple layers and a hat and she had no had lunch. The patient was considered recovered on the same day, 29-NOV-2006. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272490&WAYBACKHISTORY=ON


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