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This is VAERS ID 274788

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 274788
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR 02002AC / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Fall, Syncope

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

Write-up:After getting 1 Menactra vaccine to her Left deltoid and 2 HPV vaccines to her Right deltoid. Patient fainted and fell down to the floor, nonconscious. Approx 2 min she became alert and her Blood pressure 90/60. 911 was called and she was brought to hospi"tal in stable condition.


Changed on 12/8/2009

VAERS ID: 274788 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR 02002AC / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Blood pressure decreased, Fall, Syncope

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

Write-up:After getting 1 Menactra vaccine to her Left deltoid and 2 HPV vaccines to her Right deltoid. Patient fainted and fell down to the floor, nonconscious. Approx 2 min she became alert and her Blood pressure 90/60. 911 was called and she was brought to hospi"tal hospital in stable condition.


Changed on 4/7/2010

VAERS ID: 274788 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR 02002AC / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Blood pressure decreased, Fall, Syncope

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

Write-up:After getting 1 Menactra vaccine to her Left deltoid and 2 HPV vaccines to her Right deltoid. Patient fainted and fell down to the floor, nonconscious. Approx 2 min she became alert and her Blood pressure 90/60. 911 was called and she was brought to hospital in stable condition.


Changed on 5/14/2017

VAERS ID: 274788 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-03-15
Onset:2007-03-15
Submitted:2007-03-15
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR 02002AC / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Blood pressure decreased, Fall, Syncope

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

Write-up:After getting 1 Menactra vaccine to her Left deltoid and 2 HPV vaccines to her Right deltoid. Patient fainted and fell down to the floor, nonconscious. Approx 2 min she became alert and her Blood pressure 90/60. 911 was called and she was brought to hospital in stable condition.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274788&WAYBACKHISTORY=ON


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