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This is VAERS ID 274087

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274087
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labor"ed breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


Changed on 12/8/2009

VAERS ID: 274087 Before After
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Syncope, Scan brain, Neck injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labor"ed Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


Changed on 8/31/2010

VAERS ID: 274087 Before After
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Syncope, Scan brain, Neck injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


Changed on 4/13/2011

VAERS ID: 274087 Before After
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Syncope, Scan brain, Neck injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


Changed on 5/13/2011

VAERS ID: 274087 Before After
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Syncope, Scan brain, Neck injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


Changed on 6/11/2011

VAERS ID: 274087 Before After
Age:19.0
Gender:Female
Location:Ohio
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-03-12
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Anxiety, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram, Erythema, Fall, Full blood count, Loss of consciousness, Syncope, Scan brain, Neck injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Yaz birth control
Current Illness:
Preexisting Conditions: Abnormal uterine bleeding, irregular menstruation, Menorrhagia, Pelvic pain.
Diagnostic Lab Data: In emergency room CT head, brain, CT neck soft tissue, BMP, CBC, EKG.
CDC 'Split Type':

Write-up:Syncope episode at checkout window 4 min after Gardasil vaccine given. Upon forward fall, pt sustained blow to anterior aspect of neck on our counter top. Unconscious for approx 30-60 sec, then alert but confused as to what happened for about 1 min. Labored breathing and anxiety approx 4-5 min then relaxed. Red raised mark on soft tissue of anterior neck. Remained in supine position with neck neutral at still. EMS here within 10 min. To ER pre EMS with cervical collar and neck immobilizer on.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274087&WAYBACKHISTORY=ON


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