National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 274631

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274631
VAERS Form:
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-03-23
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness

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: Orthotricyclen-lo
Current Illness: none T 98.1, patient was seen on 03-14-2007 for viral pharyngitis
Preexisting Conditions: no allergies, dysmenorrhea, H. Pylori 4-2006, mono 4-2006,
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Patient had complaints of lightheadedness/dizziness approx. 5-10 minutes after injection. Lasted for approx. 5 minutes. Patient was seated, cold cloth applied to neck and wrists, given water to drink. s/s resolved with intervention and seating. Patient wi"th no other complaints.


Changed on 12/8/2009

274631 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-03-23
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness

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: Orthotricyclen-lo
Current Illness: none T 98.1, patient was seen on 03-14-2007 for viral pharyngitis
Preexisting Conditions: no allergies, dysmenorrhea, H. Pylori 4-2006, mono 4-2006,
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Patient had complaints of lightheadedness/dizziness approx. 5-10 minutes after injection. Lasted for approx. 5 minutes. Patient was seated, cold cloth applied to neck and wrists, given water to drink. s/s resolved with intervention and seating. Patient wi"th with no other complaints.


Changed on 9/14/2017

274631 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-03-23
Entered:2007-03-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness

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: Orthotricyclen-lo
Current Illness: none T 98.1, patient was seen on 03-14-2007 for viral pharyngitis
Preexisting Conditions: no allergies, dysmenorrhea, H. Pylori 4-2006, mono 4-2006,
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up:Patient had complaints of lightheadedness/dizziness approx. 5-10 minutes after injection. Lasted for approx. 5 minutes. Patient was seated, cold cloth applied to neck and wrists, given water to drink. s/s resolved with intervention and seating. Patient with no other complaints.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274631&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166