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This is VAERS ID 275708

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275708
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-05
Entered:2007-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Injection site irritation, Loss of consciousness, Emergency care examination

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

Write-up:Information has been received from a certified nurses aid concerning a 19 year old female who on 22-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant medication was reported as none. On 22-MAR-2007, the patient experienced burning feeli"ng at the injection site, the patient passed out and had a seizure for about 10 minutes. An ambulance was called and the patient was rushed to the emergency room. The outcome and causality of the events were not reported. Burning feeling at the injection


Changed on 12/8/2009

VAERS ID: 275708 Before After
Age:19.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-05
Entered:2007-04-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - UN / - UN

Administered by: Private      Purchased by: Unknown Other
Symptoms: Convulsion, Injection site irritation, Loss of consciousness, Emergency care examination

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA04990

Write-up:Information has been received from a certified nurses aid concerning a 19 year old female who on 22-MAR-2007 was vaccinated with the first dose of Gardasil. GARDASIL. Concomitant medication was reported as none. On 22-MAR-2007, the patient experienced burning feeli"ng feeling at the injection site, the patient passed out and had a seizure for about 10 minutes. An ambulance was called and the patient was rushed to the emergency room. The outcome and causality of the events were not reported. Burning feeling at the injection site, passed out and seizure were considered to be other important medical events. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275708&WAYBACKHISTORY=ON


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