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This is VAERS ID 274955

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

274955
VAERS Form:
Age:17.0
Gender:Unknown
Location:Pennsylvania
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:0000-00-00
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0088U / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness

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

Write-up:Lightheaded then passed out for less than 10 seconds.


Changed on 12/8/2009

274955 Before After
VAERS Form:
Age:17.0
Gender:Unknown
Location:Pennsylvania
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:0000-00-00
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0088U / 1 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Loss of consciousness

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

Write-up:Lightheaded then passed out for less than 10 seconds.


Changed on 9/14/2017

274955 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Unknown
Location:Pennsylvania
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:0000-00-00
Entered:2007-03-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0088U / 1 2 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness

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

Write-up:Lightheaded then passed out for less than 10 seconds.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=274955&WAYBACKHISTORY=ON


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