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This is VAERS ID 272523

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272523
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood pressure, Dizziness, Electrocardiogram, Fatigue, Heart rate increased

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: Depo-Provera
Current Illness:
Preexisting Conditions: collapse of lung
Allergies:
Diagnostic Lab Data: Diagnostic test: blood pressure, 01/05/07, 138/6; electrocardiogram, 01/05/07, tachy; Lab Results: total heartbeat count, 01/05/07, 145
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 20 year old female with a history of collapse of left lung (September 2006 for which she recovered) who on 05-JAN-2007 was vaccinated with a first IM dose of HPV vaccine (yeast). Concomitant ther"apy on 05-JAN-2007 included a dose of medroxyprogesterone acetate (DEPO-PROVERA). On 05-JAN-2007 the patient experienced dizziness, tiredness, tachycardia and high blood pressure. The patient has been on medroxyprogesterone acetate since July 2006 and has


Changed on 12/8/2009

272523 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-02-14
Entered:2007-02-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood pressure, Dizziness, Electrocardiogram, Fatigue, Heart rate increased, Hypertension, Tachycardia

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: Depo-Provera
Current Illness:
Preexisting Conditions: collapse of lung
Allergies:
Diagnostic Lab Data: Diagnostic test: blood pressure, 01/05/07, 138/6; electrocardiogram, 01/05/07, tachy; Lab Results: total heartbeat count, 01/05/07, 145
CDC 'Split Type': (blank) WAES0701USA04282

Write-up:Information has been received from a physician concerning a 20 year old female with a history of collapse of left lung (September 2006 for which she recovered) who on 05-JAN-2007 was vaccinated with a first IM dose of HPV vaccine (yeast). Concomitant ther"apy therapy on 05-JAN-2007 included a dose of medroxyprogesterone acetate (DEPO-PROVERA). On 05-JAN-2007 the patient experienced dizziness, tiredness, tachycardia and high blood pressure. The patient has been on medroxyprogesterone acetate since July 2006 and has not experienced any of these symptoms. Her pulse rate has been as high as 145 at rest and blood pressure was 138/85 and an EKG showed tachycardia. Blood work was done and results not provided. She is scheduled to have pulmonary function tests on 07-FEB-2007 and will be seeing a cardiologist "in the future." The patient''s dizziness and tiredness and tachycardia and high blood persisted. Additional information has been requested.


Changed on 9/14/2017

272523 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-05
Onset:2007-01-05
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: Other      Purchased by: Other
Symptoms: Blood pressure, Dizziness, Electrocardiogram, Fatigue, Heart rate increased, Hypertension, Tachycardia

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: Depo-Provera
Current Illness:
Preexisting Conditions: collapse of lung
Allergies:
Diagnostic Lab Data: Diagnostic test: blood pressure, 01/05/07, 138/6; electrocardiogram, 01/05/07, tachy; Lab Results: total heartbeat count, 01/05/07, 145
CDC 'Split Type': WAES0701USA04282

Write-up:Information has been received from a physician concerning a 20 year old female with a history of collapse of left lung (September 2006 for which she recovered) who on 05-JAN-2007 was vaccinated with a first IM dose of HPV vaccine (yeast). Concomitant therapy on 05-JAN-2007 included a dose of medroxyprogesterone acetate (DEPO-PROVERA). On 05-JAN-2007 the patient experienced dizziness, tiredness, tachycardia and high blood pressure. The patient has been on medroxyprogesterone acetate since July 2006 and has not experienced any of these symptoms. Her pulse rate has been as high as 145 at rest and blood pressure was 138/85 and an EKG showed tachycardia. Blood work was done and results not provided. She is scheduled to have pulmonary function tests on 07-FEB-2007 and will be seeing a cardiologist "in the future." The patient''s dizziness and tiredness and tachycardia and high blood persisted. Additional information has been requested.


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