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This is VAERS ID 274837

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274837
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-03-26
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M 0688F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SP 2631AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hyperhidrosis, Pallor, Presyncope

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: NONE
Current Illness: NONE
Preexisting Conditions: MIGRAINES
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:BECAME DIAPHOETIC AND VERY PALE. NEAR SYNCOPE


Changed on 12/8/2009

274837 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-03-26
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M 0688F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SP 2631AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Hyperhidrosis, Pallor, Presyncope

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: NONE
Current Illness: NONE
Preexisting Conditions: MIGRAINES
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:BECAME DIAPHOETIC AND VERY PALE. NEAR SYNCOPE


Changed on 5/14/2017

274837 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-03-26
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M 0688F / 0 RA / IM
TDAP: TDAP (ADACEL) / AVENTIS PASTEUR SANOFI PASTEUR SP 2631AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis, Pallor, Presyncope

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: NONE
Current Illness: NONE
Preexisting Conditions: MIGRAINES
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:BECAME DIAPHOETIC AND VERY PALE. NEAR SYNCOPE


Changed on 9/14/2017

274837 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Virginia
Vaccinated:2007-03-26
Onset:2007-03-26
Submitted:2007-03-26
Entered:2007-03-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M 0688F / 0 1 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR SP 2631AA / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Hyperhidrosis, Pallor, Presyncope

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: NONE
Current Illness: NONE
Preexisting Conditions: MIGRAINES
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:BECAME DIAPHOETIC AND VERY PALE. NEAR SYNCOPE


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