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This is VAERS ID 273916

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 273916
Age:16.0
Gender:Female
Location:North Dakota
Vaccinated:2006-08-31
Onset:2006-08-31
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Loss of consciousness, Tremor, Scan brain

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: NONE
Diagnostic Lab Data: CT- brain - normal
CDC 'Split Type':

Write-up:Patient walked to lobby after shot and passed out, then body shook. She was helped back to exam room and observed. She hit back of head and no bump forward. Iced area for 30 minutes. She left in 45 minutes in good condition. Ct scan normal next day.


Changed on 12/8/2009

VAERS ID: 273916 Before After
Age:16.0
Gender:Female
Location:North Dakota
Vaccinated:2006-08-31
Onset:2006-08-31
Submitted:2007-03-08
Entered:2007-03-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0640F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Loss of consciousness, Tremor, Scan brain

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: NONE
Diagnostic Lab Data: CT- brain - normal
CDC 'Split Type':

Write-up:Patient walked to lobby after shot and passed out, then body shook. She was helped back to exam room and observed. She hit back of head and no bump forward. Iced area for 30 minutes. She left in 45 minutes in good condition. Ct scan normal next day.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=273916&WAYBACKHISTORY=ON


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