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This is VAERS ID 274195

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274195
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-04
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness

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: Yaz, Miralax, Zelnorm
Current Illness:
Preexisting Conditions: dizziness
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 21 year old white female with no known drug allergies or illness at the time of vaccination who on 01 Jan 2007 was vaccinated in the right deltoid with a 0.5 mL first dose of Gardasil. Con"comitant therapy included Yaz, Zelnorm and Miralax. On 04 Jan 2007, the patient became lightheaded and had to lie down after receiving Gardasil vaccination. The patient stated that she had gotten lightheaded after injections in the past. She also did not


Changed on 12/8/2009

274195 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-04
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness

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: Yaz, Miralax, Zelnorm
Current Illness:
Preexisting Conditions: dizziness
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA01321

Write-up:Information has been received from a registered nurse concerning a 21 year old white female with no known drug allergies or illness at the time of vaccination who on 01 Jan 2007 was vaccinated in the right deltoid with a 0.5 mL first dose of Gardasil. Con"comitant Concomitant therapy included Yaz, Zelnorm and Miralax. On 04 Jan 2007, the patient became lightheaded and had to lie down after receiving Gardasil vaccination. The patient stated that she had gotten lightheaded after injections in the past. She also did not have much to eat that morning. The patient did not lose consciousness and remained alert and responsive. The patient was given some peanut butter crackers and coke and subsequently felt better and recovered. Additional information is not expected.


Changed on 9/14/2017

274195 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-01-04
Onset:2007-01-04
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1425F / 0 1 - / -

Administered by: Private      Purchased by: Other
Symptoms: Dizziness

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: Yaz, Miralax, Zelnorm
Current Illness:
Preexisting Conditions: dizziness
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01321

Write-up:Information has been received from a registered nurse concerning a 21 year old white female with no known drug allergies or illness at the time of vaccination who on 01 Jan 2007 was vaccinated in the right deltoid with a 0.5 mL first dose of Gardasil. Concomitant therapy included Yaz, Zelnorm and Miralax. On 04 Jan 2007, the patient became lightheaded and had to lie down after receiving Gardasil vaccination. The patient stated that she had gotten lightheaded after injections in the past. She also did not have much to eat that morning. The patient did not lose consciousness and remained alert and responsive. The patient was given some peanut butter crackers and coke and subsequently felt better and recovered. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274195&WAYBACKHISTORY=ON


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