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This is VAERS ID 274745

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274745
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Head injury, Headache, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female who on approximately 12-FEB-2007 was vaccinated intramuscularly with a dose of HPV. On approximately 12-FEB-2007 the patient fainted after the administration of HPV. It was reported that t"his patient may have fainted while on the way to the car and hit her head at an unspecified area. Medical attention was sought and the patient''''s mother was requesting a computed axial tomography because the patient was experiencing bad headaches. At the


Changed on 12/8/2009

VAERS ID: 274745 Before After
Age:15.0
Gender:Female
Location:California
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-03-14
Entered:2007-03-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Head injury, Headache, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00941

Write-up:Information has been received from a physician concerning a female who on approximately 12-FEB-2007 was vaccinated intramuscularly with a dose of HPV. On approximately 12-FEB-2007 the patient fainted after the administration of HPV. It was reported that t"his this patient may have fainted while on the way to the car and hit her head at an unspecified area. Medical attention was sought and the patient''''s patient''s mother was requesting a computed axial tomography because the patient was experiencing bad headaches. At the time of the report, the patient''s outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274745&WAYBACKHISTORY=ON


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