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This is VAERS ID 276066

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276066
Age:16.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hyperhidrosis, Hypotension, Pallor, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline 1xd on/off for ache
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Administered vaccine with on incidents. Suddenly with in 2-3 mins. became faint, sweaty, pale layed pt down on exam table. Responded immediately BP 98/56 AP 68. Observation, cool drink rest no further incidence-discharged with mom (did not drug herself).


Changed on 12/8/2009

VAERS ID: 276066 Before After
Age:16.0
Gender:Female
Location:Rhode Island
Vaccinated:2007-03-20
Onset:2007-03-20
Submitted:2007-04-11
Entered:2007-04-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Hyperhidrosis, Hypotension, Pallor, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Doxycycline 1xd on/off for ache
Current Illness: none
Preexisting Conditions: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Administered vaccine with on incidents. Suddenly with in 2-3 mins. became faint, sweaty, pale layed pt down on exam table. Responded immediately BP 98/56 AP 68. Observation, cool drink rest no further incidence-discharged with mom (did not drug herself).


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276066&WAYBACKHISTORY=ON


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