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This is VAERS ID 274739

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274739
VAERS Form:
Age:
Gender:Female
Location:Michigan
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. - / - 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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil. Subsequently the patient experienced dizziness and sought unspecified medical attention. No further information was provided. Additional informa"tion has been requested.


Changed on 12/8/2009

274739 Before After
VAERS Form:
Age:
Gender:Female
Location:Michigan
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. - / - 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: Unknown
CDC 'Split Type': (blank) WAES0703USA00329

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil. Subsequently the patient experienced dizziness and sought unspecified medical attention. No further information was provided. Additional informa"tion information has been requested.


Changed on 9/14/2017

274739 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Michigan
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. - / - 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: Unknown
CDC 'Split Type': WAES0703USA00329

Write-up:Information has been received from a physician concerning a female who was vaccinated with a dose of Gardasil. Subsequently the patient experienced dizziness and sought unspecified medical attention. No further information was provided. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274739&WAYBACKHISTORY=ON


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