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This is VAERS ID 274035

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274035
VAERS Form:
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Heart rate normal, Hypoaesthesia, Paraesthesia

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Approximately 30 secs after vaccine was administered, pt became light headed and dizzy. Nurse had pt lay flat and administered ice pack to back of neck. Pulse normal. Ten minutes later, nurse asked how pt was feeling, she complained of still being dizzy a"nd that both arms felt numb/ tingly. Pulse rechecked, left arm slower than right. Both of patient''''s arms began to shake. Red blotches noted on patient''''s chest and neck. The nurse practioner in the office was called and came to eval patient. Nurse practi


Changed on 12/8/2009

274035 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Heart rate normal, Hypoaesthesia, Paraesthesia, Rash macular, Tremor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Approximately 30 secs after vaccine was administered, pt became light headed and dizzy. Nurse had pt lay flat and administered ice pack to back of neck. Pulse normal. Ten minutes later, nurse asked how pt was feeling, she complained of still being dizzy a"nd and that both arms felt numb/ tingly. Pulse rechecked, left arm slower than right. Both of patient''''s patient''s arms began to shake. Red blotches noted on patient''''s patient''s chest and neck. The nurse practioner in the office was called and came to eval patient. Nurse practi practioner ordered Benedryl 25mg to be given.


Changed on 9/14/2017

274035 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:New York
Vaccinated:2007-03-14
Onset:2007-03-14
Submitted:2007-03-15
Entered:2007-03-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Heart rate normal, Hypoaesthesia, Paraesthesia, Rash macular, Tremor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Approximately 30 secs after vaccine was administered, pt became light headed and dizzy. Nurse had pt lay flat and administered ice pack to back of neck. Pulse normal. Ten minutes later, nurse asked how pt was feeling, she complained of still being dizzy and that both arms felt numb/ tingly. Pulse rechecked, left arm slower than right. Both of patient''s arms began to shake. Red blotches noted on patient''s chest and neck. The nurse practioner in the office was called and came to eval patient. Nurse practioner ordered Benedryl 25mg to be given.


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