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This is VAERS ID 274582

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274582
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Fall, Head injury, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with HPV (lot # 653736/0014U), intramuscularly. There was no concomitant medication. L"ater that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 274582 Before After
Age:25.0
Gender:Female
Location:Unknown
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Fall, Head injury, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions: NONE
Diagnostic Lab Data: NONE
CDC 'Split Type': (blank) WAES0702USA04019

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with HPV (lot # 653736/0014U), intramuscularly. There was no concomitant medication. L"ater Later that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 274582 Before After
Age:25.0
Gender:Female
Location:Unknown Alabama
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / - 0 - UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Fall, Head injury, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE None
Current Illness: Fatigue; Weakness
Preexisting Conditions: NONE None
Diagnostic Lab Data: NONE None
CDC 'Split Type': WAES0702USA04019

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with HPV GARDASIl vaccine (lot # 653736/0014U), intramuscularly. There was no concomitant medication. Later that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information was received which stated that the patient had weakness and fatigue at the time of the first intramuscular vaccination in the left deltoid of GARDASIl vaccine (lot # 653736/0014U) on 21-FEB-2007 at 16:45. At 17:30 that same day, post vaccination, the patietn expereinced lightheadedness, dizziness, chest tightening and passed out. No treatment was reported. At the time of the report it was unknown if the patient had recovered. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 274582 Before After
Age:25.0
Gender:Female
Location:Alabama
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Fall, Head injury, Loss of consciousness, Impaired work ability

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Fatigue; Weakness
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04019

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with GARDASIl vaccine (lot # 653736/0014U), intramuscularly. There was no concomitant medication. Later that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information was received which stated that the patient had weakness and fatigue at the time of the first intramuscular vaccination in the left deltoid of GARDASIl vaccine (lot # 653736/0014U) on 21-FEB-2007 at 16:45. At 17:30 that same day, post vaccination, the patietn expereinced lightheadedness, dizziness, chest tightening and passed out. No treatment was reported. At the time of the report it was unknown if the patient had recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 274582 Before After
Age:25.0
Gender:Female
Location:Alabama
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Fall, Head injury, Loss of consciousness, Impaired work ability

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Fatigue; Weakness
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04019

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with GARDASIl vaccine (lot # 653736/0014U), intramuscularly. There was no concomitant medication. Later that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information was received which stated that the patient had weakness and fatigue at the time of the first intramuscular vaccination in the left deltoid of GARDASIl vaccine (lot # 653736/0014U) on 21-FEB-2007 at 16:45. At 17:30 that same day, post vaccination, the patietn expereinced lightheadedness, dizziness, chest tightening and passed out. No treatment was reported. At the time of the report it was unknown if the patient had recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 274582 Before After
Age:25.0
Gender:Female
Location:Alabama
Vaccinated:2007-02-21
Onset:2007-02-21
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest discomfort, Dizziness, Fall, Head injury, Loss of consciousness, Impaired work ability

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Fatigue; Weakness
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0702USA04019

Write-up:Information has been received from a health care professional concerning a 25 year old female with no medical history and no allergies who on 21-FEB-2007 was vaccinated with GARDASIl vaccine (lot # 653736/0014U), intramuscularly. There was no concomitant medication. Later that evening she passed out. She hit her head when she fell to the floor. It was reported to be unknown if treatment was required. She called the doctor this morning and was taking the day off from work. Additional information has been requested. This is in follow-up to report (s) previously submitted on 3/14/2007. Follow up information was received which stated that the patient had weakness and fatigue at the time of the first intramuscular vaccination in the left deltoid of GARDASIl vaccine (lot # 653736/0014U) on 21-FEB-2007 at 16:45. At 17:30 that same day, post vaccination, the patietn expereinced lightheadedness, dizziness, chest tightening and passed out. No treatment was reported. At the time of the report it was unknown if the patient had recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274582&WAYBACKHISTORY=ON


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