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This is VAERS ID 274305

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274305
Age:
Gender:Female
Location:Unknown
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. - / 1 UN / -

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

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

Write-up:Information has been received from a nurse via a company representative concerning a female (age not reported) with an allergy to bakers yeast and on a gluten free diet who, on an unspecified date, was vaccinated with a second dose of Gardasil and passed"out (dates not reported). It was reported that the patient received the first dose with /"no problem/". At the time of the report, recovery status of the patient was unspecified. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 274305 Before After
Age:
Gender:Female
Location:Unknown
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. - / 1 UN / -

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness: Gluten free diet; Hypersensitivity
Preexisting Conditions:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA03595

Write-up:Information has been received from a nurse via a company representative concerning a female (age not reported) with an allergy to bakers yeast and on a gluten free diet who, on an unspecified date, was vaccinated with a second dose of Gardasil and passed"out passed out (dates not reported). It was reported that the patient received the first dose with /"no problem/". "no problem". At the time of the report, recovery status of the patient was unspecified. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274305&WAYBACKHISTORY=ON


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