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This is VAERS ID 276063

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276063
Age:13.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-04-05
Onset:2007-04-05
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1300F / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Hyperhidrosis, Pallor, Pharyngolaryngeal pain, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: anaphylaxis to bees (epi pen)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:2-3 min after receiving vaccination while standing had syncopal episode, sweaty, shaking sore throat white lips after 5-10 mins. 12 cups of H2O felt better BP 90/60 BP normal taken prior to exam 106/62 P 80


Changed on 12/8/2009

VAERS ID: 276063 Before After
Age:13.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-04-05
Onset:2007-04-05
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1300F / 1 RA / SC

Administered by: Private      Purchased by: Unknown Public
Symptoms: Blood pressure decreased, Hyperhidrosis, Pallor, Pharyngolaryngeal pain, Syncope, Tremor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: anaphylaxis to bees (epi pen)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:2-3 min after receiving vaccination while standing had syncopal episode, sweaty, shaking sore throat white lips after 5-10 mins. 12 cups of H2O felt better BP 90/60 BP normal taken prior to exam 106/62 P 80


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276063&WAYBACKHISTORY=ON


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