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This is VAERS ID 273305

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

273305
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-02-16
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Convulsion, Fall, Head injury, Injury

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK labs received 3/9/07.CT head:normal C Spine unremarkable
CDC 'Split Type':

Write-up:Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vac"cine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event.


Changed on 12/8/2009

273305 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-02-16
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram normal, Convulsion, Fall, Head injury, Injury, Spinal X-ray normal, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK labs received 3/9/07.CT head:normal C Spine unremarkable
CDC 'Split Type':

Write-up:Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vac"cine vaccine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event. Glucose 76, O2 sats 99% on RA. BP after episode 99/52, pulse 49. Transported to ER. 03/09/07-records received from facility for DOS 2/16/07-DX:Syncope. Post syncopal seizure.


Changed on 5/14/2017

273305 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-02-16
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Convulsion, Fall, Head injury, Injury, Spinal X-ray normal, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK labs received 3/9/07.CT head:normal C Spine unremarkable
CDC 'Split Type':

Write-up:Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vaccine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event. Glucose 76, O2 sats 99% on RA. BP after episode 99/52, pulse 49. Transported to ER. 03/09/07-records received from facility for DOS 2/16/07-DX:Syncope. Post syncopal seizure.


Changed on 9/14/2017

273305 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-02-16
Onset:2007-02-16
Submitted:2007-02-16
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Fall, Head injury, Injury, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: UNK labs received 3/9/07.CT head:normal C Spine unremarkable
CDC 'Split Type':

Write-up:Pt received Gardasil and within a minute, pt fainted while sitting on table, fell of and hit her head on a drawer handle, pt began to seize. Called 911, she was stabilized by EMS. 03/05/07-records received from PCP:Five minutes after administration of vaccine episode of eyes rolling back, fell off exam table and struck neck and head on cabinet drawers. Unresponsive to voice with stiffening of all extremities. Event lasted 30 seconds, afterwards alert oriented and recalled speaking to urse prior to event. Glucose 76, O2 sats 99% on RA. BP after episode 99/52, pulse 49. Transported to ER. 03/09/07-records received from facility for DOS 2/16/07-DX:Syncope. Post syncopal seizure.


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