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This is VAERS ID 274199

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274199
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified"date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested.


Changed on 12/8/2009

274199 Before After
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA01353

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified"date, unspecified date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested.


Changed on 3/2/2010

274199 Before After
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - UN / - IJ

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01353

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested. Follow-up information was received in which it was reported that no patient had a problem with this vaccine. We have been misinformed. No additional information is expected.


Changed on 6/14/2014

274199 Before After
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IJ

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01353

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested. Follow-up information was received in which it was reported that no patient had a problem with this vaccine. We have been misinformed. No additional information is expected.


Changed on 5/14/2017

274199 Before After
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IJ

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01353

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested. Follow-up information was received in which it was reported that no patient had a problem with this vaccine. We have been misinformed. No additional information is expected.


Changed on 9/14/2017

274199 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IJ

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: passed out
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA01353

Write-up:Information has been received from an office manager concerning a female (age not reported) with a history of passing out when receiving shots who on an unspecified date was vaccinated with Gardasil (lot # not reported) 0.5 ml injection. On an unspecified date, the patient passed out after the shot of Gardasil, unknown which dose. Unspecified medical attention was sought. The patient recovered later in the day. Additional information has been requested. Follow-up information was received in which it was reported that no patient had a problem with this vaccine. We have been misinformed. No additional information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274199&WAYBACKHISTORY=ON


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