National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276064

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276064
Age:15.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

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

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: Ceclor allergy (rash)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Passed out in hallway after receiving vaccine. BP 90/30 then elevated to 98/60 took 15 mins to he able to sit up BP normal taken prior to exam 94/60 P 84


Changed on 12/8/2009

VAERS ID: 276064 Before After
Age:15.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 - / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Hypotension, Loss of consciousness

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: Ceclor allergy (rash)
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Passed out in hallway after receiving vaccine. BP 90/30 then elevated to 98/60 took 15 mins to he able to sit up BP normal taken prior to exam 94/60 P 84


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276064&WAYBACKHISTORY=ON


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