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This is VAERS ID 274113

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274113
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood pressure normal, Dizziness, Fall, Heart rate normal, Loss of consciousness

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

Write-up:Information has been received from a physician concerning a 21 year old female with no known allergies who on 01-FEB-2007 was vaccinated intramuscularly in the right deltoid with Gardasil (lot # not provided). The physician reported that after administeri"ng the injection she /"turned around literally for a second/" and when she turned back to the patient she found her /"on the floor, with her rear in the air/". The physician stated that she called for her assistant for help and the patient was already con


Changed on 12/8/2009

VAERS ID: 274113 Before After
Age:21.0
Gender:Female
Location:New York
Vaccinated:2007-02-01
Onset:2007-02-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood pressure normal, Dizziness, Fall, Heart rate normal, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA00435

Write-up:Information has been received from a physician concerning a 21 year old female with no known allergies who on 01-FEB-2007 was vaccinated intramuscularly in the right deltoid with Gardasil (lot # not provided). The physician reported that after administeri"ng administering the injection she /"turned "turned around literally for a second/" second" and when she turned back to the patient she found her /"on "on the floor, with her rear in the air/". air". The physician stated that she called for her assistant for help and the patient was already con conscious, "she was only out for a second". The patient reported to the physician that she felt dizzy and felt like she instantly went to sleep. The physician reported that the patients blood pressure and pulse were normal (actual measurements not provided). The physician reported that the patient was observed in the office, had no additional episodes and considered to have recovered from the event and sent home. The physician stated that she did not feel the event was disabling and would continue the series of vaccination of Gardasil with the patient, but would have her reclined when administering future vaccinations. Additional information has been requested.


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