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This is VAERS ID 274401

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274401
VAERS Form:
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-10-03
Onset:2006-10-03
Submitted:2007-03-20
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncopal episode after dose #2 of Gardasil vaccine.


Changed on 12/8/2009

274401 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-10-03
Onset:2006-10-03
Submitted:2007-03-20
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncopal episode after dose #2 of Gardasil vaccine.


Changed on 9/14/2017

274401 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Virginia
Vaccinated:2006-10-03
Onset:2006-10-03
Submitted:2007-03-20
Entered:2007-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Syncope

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:
Current Illness: NONE
Preexisting Conditions: NONE
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncopal episode after dose #2 of Gardasil vaccine.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274401&WAYBACKHISTORY=ON


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