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This is VAERS ID 273357

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273357
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-01
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Malaise, Pallor, Somnolence, Syncope

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

Write-up:Information has been received from physician concerning a 16 year old female patient who on approximately 05-JAN-2007 (/"7 weeks ago/") was vaccinated with the first dose, 0.5ml, IM, of Gardasil. There was no concomitant medication. The physician reported"that the patient stated she /"did not feel well when checking out and turned white and fainted when being taken back into the examining room./" The physician clarified that the patient /"did not lose consciousness or hit her head because he caught the pat


Changed on 12/8/2009

VAERS ID: 273357 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-01
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Malaise, Pallor, Somnolence, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA04223

Write-up:Information has been received from physician concerning a 16 year old female patient who on approximately 05-JAN-2007 (/"7 ("7 weeks ago/") ago") was vaccinated with the first dose, 0.5ml, IM, of Gardasil. There was no concomitant medication. The physician reported"that reported that the patient stated she /"did "did not feel well when checking out and turned white and fainted when being taken back into the examining room./" room." The physician clarified that the patient /"did "did not lose consciousness or hit her head because he caught the pat patient." He confirmed the patient fainted "within 5 minutes" of the vaccination, and remained "groggy for up to 30 minutes" after the vaccination. The patient was then "considered recovered," and left the office. The physician considered the events to be disabling. Additional information has been requested.


Changed on 1/5/2010

VAERS ID: 273357 Before After
Age:16.0 17.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-01
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / 0 - UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Malaise, Pallor, Somnolence, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA04223

Write-up:Information has been received from physician concerning a 16 year old female patient who on approximately 05-JAN-2007 ("7 weeks ago") was vaccinated with the first dose, 0.5ml, IM, of Gardasil. There was no concomitant medication. The physician reported that the patient stated she "did not feel well when checking out and turned white and fainted when being taken back into the examining room." The physician clarified that the patient "did not lose consciousness or hit her head because he caught the patient." He confirmed the patient fainted "within 5 minutes" of the vaccination, and remained "groggy for up to 30 minutes" after the vaccination. The patient was then "considered recovered," and left the office. The physician considered the events to be disabling. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 273357 Before After
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-01
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Malaise, Pallor, Somnolence, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA04223

Write-up:Information has been received from physician concerning a 16 year old female patient who on approximately 05-JAN-2007 ("7 weeks ago") was vaccinated with the first dose, 0.5ml, IM, of Gardasil. There was no concomitant medication. The physician reported that the patient stated she "did not feel well when checking out and turned white and fainted when being taken back into the examining room." The physician clarified that the patient "did not lose consciousness or hit her head because he caught the patient." He confirmed the patient fainted "within 5 minutes" of the vaccination, and remained "groggy for up to 30 minutes" after the vaccination. The patient was then "considered recovered," and left the office. The physician considered the events to be disabling. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 273357 Before After
Age:17.0
Gender:Female
Location:New York
Vaccinated:2007-01-05
Onset:2007-01-05
Submitted:2007-03-01
Entered:2007-03-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Malaise, Pallor, Somnolence, Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': WAES0702USA04223

Write-up:Information has been received from physician concerning a 16 year old female patient who on approximately 05-JAN-2007 ("7 weeks ago") was vaccinated with the first dose, 0.5ml, IM, of Gardasil. There was no concomitant medication. The physician reported that the patient stated she "did not feel well when checking out and turned white and fainted when being taken back into the examining room." The physician clarified that the patient "did not lose consciousness or hit her head because he caught the patient." He confirmed the patient fainted "within 5 minutes" of the vaccination, and remained "groggy for up to 30 minutes" after the vaccination. The patient was then "considered recovered," and left the office. The physician considered the events to be disabling. Additional information has been requested.


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