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This is VAERS ID 274273

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274273
VAERS Form:
Age:17.0
Gender:Female
Location:North Dakota
Vaccinated:2007-03-16
Onset:2007-03-16
Submitted:2007-03-18
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Feeling cold, Feeling hot, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Lo birth control
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Approx 20 min after vaccine pt felt dizzy, weak and blacked out. Caught by mother before falling to ground. Also felt hot. Taken home (was at grocery store). Felt slightly weak and then at 9 pm that night felt very cold and weak at 9pm. No rxn at injectio"n site.


Changed on 12/8/2009

274273 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:North Dakota
Vaccinated:2007-03-16
Onset:2007-03-16
Submitted:2007-03-18
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Dizziness, Feeling cold, Feeling hot, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Lo birth control
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Approx 20 min after vaccine pt felt dizzy, weak and blacked out. Caught by mother before falling to ground. Also felt hot. Taken home (was at grocery store). Felt slightly weak and then at 9 pm that night felt very cold and weak at 9pm. No rxn at injectio"n injection site.


Changed on 9/14/2017

274273 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:North Dakota
Vaccinated:2007-03-16
Onset:2007-03-16
Submitted:2007-03-18
Entered:2007-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1161F / 0 1 LA / -

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Feeling cold, Feeling hot, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ortho Lo birth control
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Approx 20 min after vaccine pt felt dizzy, weak and blacked out. Caught by mother before falling to ground. Also felt hot. Taken home (was at grocery store). Felt slightly weak and then at 9 pm that night felt very cold and weak at 9pm. No rxn at injection site.


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