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This is VAERS ID 275915

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 275915
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-04-03
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 2 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness, Skin laceration

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

Write-up:Student received Gardasil at 1500 on 4/2/07 - tolerated vaccine well - returned to dorm - subsequently passed out in dorm bathroom causing laceration to head.


Changed on 12/8/2009

VAERS ID: 275915 Before After
Age:19.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-02
Onset:2007-04-02
Submitted:2007-04-03
Entered:2007-04-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 2 LA / IM

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

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

Write-up:Student received Gardasil at 1500 on 4/2/07 - tolerated vaccine well - returned to dorm - subsequently passed out in dorm bathroom causing laceration to head.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=275915&WAYBACKHISTORY=ON


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