National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 275377

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

275377
VAERS Form:
Age:
Gender:Unknown
Location:Indiana
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:0000-00-00
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncope and short syncopal seizure after Gardasil x2


Changed on 12/8/2009

275377 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Indiana
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:0000-00-00
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 RA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncope and short syncopal seizure after Gardasil x2


Changed on 4/7/2010

275377 Before After
VAERS Form:
Age:(blank) 18.0
Gender:Unknown Female
Location:Indiana
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:0000-00-00 2007-03-28
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncope and short syncopal seizure after Gardasil x2


Changed on 9/14/2017

275377 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Indiana
Vaccinated:2007-03-12
Onset:2007-03-12
Submitted:2007-03-28
Entered:2007-04-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB129AA / 1 2 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 2 RA / -

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncope and short syncopal seizure after Gardasil x2


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275377&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166