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This is VAERS ID 272983

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

272983
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-20
Submitted:2007-02-20
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00116 / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Body temperature increased, Nausea, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine in P.M. during night, nausea, vomited x 1, then fainted. Temperature 100.7


Changed on 12/8/2009

272983 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-20
Submitted:2007-02-20
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00116 / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Body temperature increased, Nausea, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine in P.M. during night, nausea, vomited x 1, then fainted. Temperature 100.7


Changed on 9/14/2017

272983 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:New York
Vaccinated:2007-02-19
Onset:2007-02-20
Submitted:2007-02-20
Entered:2007-02-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 00116 / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Body temperature increased, Nausea, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Patient received Gardasil vaccine in P.M. during night, nausea, vomited x 1, then fainted. Temperature 100.7


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