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This is VAERS ID 272785

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 272785
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-02-20
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2644AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0942R / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Keartosis Pilaris
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:5 minutes after Pt received vaccines, fainted LOC lasted about 5 seconds then pt dizzy and lightheaded for about 5-10 min and relieved by 10 min resting supine then 5 min sitting and drinking gatorade/eating cheese crackers.


Changed on 12/8/2009

VAERS ID: 272785 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-02-20
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR C2644AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0942R / 1 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Keartosis Pilaris
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:5 minutes after Pt received vaccines, fainted LOC lasted about 5 seconds then pt dizzy and lightheaded for about 5-10 min and relieved by 10 min resting supine then 5 min sitting and drinking gatorade/eating cheese crackers.


Changed on 5/14/2017

VAERS ID: 272785 Before After
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-02-19
Onset:2007-02-19
Submitted:2007-02-20
Entered:2007-02-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0954F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR C2644AA / 0 RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0942R / 1 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: Keartosis Pilaris
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:5 minutes after Pt received vaccines, fainted LOC lasted about 5 seconds then pt dizzy and lightheaded for about 5-10 min and relieved by 10 min resting supine then 5 min sitting and drinking gatorade/eating cheese crackers.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=272785&WAYBACKHISTORY=ON


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