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This is VAERS ID 274314

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274314
VAERS Form:
Age:
Gender:Female
Location:Florida
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 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Nausea

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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a female consumer (age unknown) who, on an unspecified date, was vaccinated intramuscularly with a second dose of Gardasil. Subsequently, on an unknown date, the patient experienced nausea and dizziness after receiving t"he second dose of vaccine which was administered with a regular needle. Symptoms subsided after 15-20 minutes. The reporting physician stated that the patient was not affected by the first dose of vaccine which was administered with a safety syringe. The


Changed on 12/8/2009

274314 Before After
VAERS Form:
Age:
Gender:Female
Location:Florida
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 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Nausea

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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0702USA03704

Write-up:Information has been received from a female consumer (age unknown) who, on an unspecified date, was vaccinated intramuscularly with a second dose of Gardasil. Subsequently, on an unknown date, the patient experienced nausea and dizziness after receiving t"he the second dose of vaccine which was administered with a regular needle. Symptoms subsided after 15-20 minutes. The reporting physician stated that the patient was not affected by the first dose of vaccine which was administered with a safety syringe. The patient sought unspecified medical attention. Subsequently, the patient recovered from nausea and dizziness. No product quality complaint was involved. Additional information has been requested.


Changed on 9/14/2017

274314 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Florida
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 2 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Nausea

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: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0702USA03704

Write-up:Information has been received from a female consumer (age unknown) who, on an unspecified date, was vaccinated intramuscularly with a second dose of Gardasil. Subsequently, on an unknown date, the patient experienced nausea and dizziness after receiving the second dose of vaccine which was administered with a regular needle. Symptoms subsided after 15-20 minutes. The reporting physician stated that the patient was not affected by the first dose of vaccine which was administered with a safety syringe. The patient sought unspecified medical attention. Subsequently, the patient recovered from nausea and dizziness. No product quality complaint was involved. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274314&WAYBACKHISTORY=ON


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