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This is VAERS ID 274701

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274701
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (demographics not provided) who on an unspecified date in January 2007, was vaccinated with Gardasil (lot # not provided). That same day the patient experienced dizziness after the vaccina"tion. At the time of this report the patient had not recovered from the dizziness. Additional information has been requested.


Changed on 12/8/2009

274701 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0702USA04306

Write-up:Information has been received from a physician concerning a female (demographics not provided) who on an unspecified date in January 2007, was vaccinated with Gardasil (lot # not provided). That same day the patient experienced dizziness after the vaccina"tion. vaccination. At the time of this report the patient had not recovered from the dizziness. Additional information has been requested.


Changed on 9/14/2017

274701 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
Vaccinated:2007-01-01
Onset:2007-01-01
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0702USA04306

Write-up:Information has been received from a physician concerning a female (demographics not provided) who on an unspecified date in January 2007, was vaccinated with Gardasil (lot # not provided). That same day the patient experienced dizziness after the vaccination. At the time of this report the patient had not recovered from the dizziness. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274701&WAYBACKHISTORY=ON


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