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This is VAERS ID 272503

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272503
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Blood pressure decreased, Pallor

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: blood pressure, 01/23/07, 120/8; blood pressure 01/23/07, 90/50
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of HPV vaccine (yeast) (lot number not provided). The nurse reported that after the patient received the vaccination she turne"d pale /"within 10 minutes of vaccination/". The nurse reported that the patient''''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the pat


Changed on 12/8/2009

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood pressure decreased, Pallor

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: blood pressure, 01/23/07, 120/8; blood pressure 01/23/07, 90/50
CDC 'Split Type': (blank) WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of HPV vaccine (yeast) (lot number not provided). The nurse reported that after the patient received the vaccination she turne"d turned pale /"within "within 10 minutes of vaccination/". vaccination". The nurse reported that the patient''''s patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the pat patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0954F / 0 - UN / - UN

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure decreased, Pallor

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: blood pressure, 01/23/07, 120/8; blood pressure 01/23/07, 90/50
CDC 'Split Type': WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of HPV vaccine (yeast) (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 UN LA / UN IJ

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure decreased, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK Unknown
Current Illness: Unknown
Preexisting Conditions: UNK Unknown
Diagnostic Lab Data: blood Blood pressure, 01/23/07, 120/8; blood Blood pressure 01/23/07, 90/50
CDC 'Split Type': WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of HPV GARDASIL vaccine (yeast) (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and followup information has been received from a registered nurse concerning a 14 year old female who had finished menses and had heavey dysmenorrhea on 23-JAN-2007 was vaccinated IM in the left deltoid at 10:20 with her first dose of GARDASIL vaccine (Lot # 653918/0954F). Concomitant therapy included TOPRANIL. On 23-H+JAN_2007, at 10:30 the patient turned pale became dizzy and lightheaded after being vaccinated and her blood pressure fropped to 90/50 blood pressure prior to vaccination was 104/64. She was given fluids and something to eat and the dizziness did not improve. She was sent to the Emergency Room for evaluation. The ER report was normal. At the time of the report her blood pressure stayed under 100. No further informaion is available.


Changed on 4/7/2010

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IJ

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure decreased, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure, 01/23/07, 120/8; Blood pressure 01/23/07, 90/50
CDC 'Split Type': WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of GARDASIL vaccine (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and followup information has been received from a registered nurse concerning a 14 year old female who had finished menses and had heavey dysmenorrhea on 23-JAN-2007 was vaccinated IM in the left deltoid at 10:20 with her first dose of GARDASIL vaccine (Lot # 653918/0954F). Concomitant therapy included TOPRANIL. On 23-H+JAN_2007, at 10:30 the patient turned pale became dizzy and lightheaded after being vaccinated and her blood pressure fropped to 90/50 blood pressure prior to vaccination was 104/64. She was given fluids and something to eat and the dizziness did not improve. She was sent to the Emergency Room for evaluation. The ER report was normal. At the time of the report her blood pressure stayed under 100. No further informaion is available.


Changed on 6/14/2014

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IJ

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure decreased, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure, 01/23/07, 120/8; Blood pressure 01/23/07, 90/50
CDC 'Split Type': WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of GARDASIL vaccine (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and followup information has been received from a registered nurse concerning a 14 year old female who had finished menses and had heavey dysmenorrhea on 23-JAN-2007 was vaccinated IM in the left deltoid at 10:20 with her first dose of GARDASIL vaccine (Lot # 653918/0954F). Concomitant therapy included TOPRANIL. On 23-H+JAN_2007, at 10:30 the patient turned pale became dizzy and lightheaded after being vaccinated and her blood pressure fropped to 90/50 blood pressure prior to vaccination was 104/64. She was given fluids and something to eat and the dizziness did not improve. She was sent to the Emergency Room for evaluation. The ER report was normal. At the time of the report her blood pressure stayed under 100. No further informaion is available.


Changed on 5/14/2017

VAERS ID: 272503 Before After
Age:14.0
Gender:Female
Location:Florida
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 LA / IJ

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure decreased, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure, 01/23/07, 120/8; Blood pressure 01/23/07, 90/50
CDC 'Split Type': WAES0701USA03883

Write-up:Information has been received from a nurse concerning a 14 year old female who on 23-JAN-2007 was vaccinated with the first dose of GARDASIL vaccine (lot number not provided). The nurse reported that after the patient received the vaccination she turned pale "within 10 minutes of vaccination". The nurse reported that the patient''s blood pressure was 120/80 prior to vaccination and her blood pressure dropped to 90/50 about ten minutes after the patient was vaccinated. The nurse reported that the patient was sent to the Emergency Room (ER) at the hospital nearby for treatment and observation. Additional information has been requested. This is in follow-up to report (s) previously submitted on 2/14/2007. Initial and followup information has been received from a registered nurse concerning a 14 year old female who had finished menses and had heavey dysmenorrhea on 23-JAN-2007 was vaccinated IM in the left deltoid at 10:20 with her first dose of GARDASIL vaccine (Lot # 653918/0954F). Concomitant therapy included TOPRANIL. On 23-H+JAN_2007, at 10:30 the patient turned pale became dizzy and lightheaded after being vaccinated and her blood pressure fropped to 90/50 blood pressure prior to vaccination was 104/64. She was given fluids and something to eat and the dizziness did not improve. She was sent to the Emergency Room for evaluation. The ER report was normal. At the time of the report her blood pressure stayed under 100. No further informaion is available.


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