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This is VAERS ID 274068

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274068
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Fall, Head injury, Syncope, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after inject"ion Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (n


Changed on 12/8/2009

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after inject"ion injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (n (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 8/31/2010

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 4/13/2011

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 5/13/2011

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 6/11/2011

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274068 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-28
Onset:2007-02-28
Submitted:2007-03-15
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0688F / 0 UN / -
MEN: MENINGOCOCCAL (MENOMUNE) / AVENTIS PASTEUR SANOFI PASTEUR - / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Fall, Head injury, Syncope, Vomiting, Orthostatic intolerance

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0703USA00641

Write-up:Information has been received from a pharmacist concerning an 18 year old female patient who on 28-FEB-2007 was vaccinated with a first dose of Gardasil, Lot #653735/0688F. Concomitant therapy included Menomune. The patient fainted 10 minutes after injection Gardasil. The patient fell and hit her head when she fainted. The patient then had a seizure for 30 seconds after she fell after fainting. The patient was slow to wake and was Orthostatic (time line was unspecified). The patient also vomited twice (no time line). The patient recovered later in the day. The reporter considered the events to be disabling. Upon internal review, seizure was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274068&WAYBACKHISTORY=ON


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