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This is VAERS ID 276136

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276136
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Abdominal pain upper, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated with a dose of Gardasil. the patient became dizzy after receiving the injection. She also had stomach cramps when she got home. Unspec"ified medical attention was sought. The patient''''s outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

276136 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Abdominal pain upper, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated with a dose of Gardasil. the patient became dizzy after receiving the injection. She also had stomach cramps when she got home. Unspec"ified Unspecified medical attention was sought. The patient''''s patient''s outcome was unknown. Additional information has been requested.


Changed on 3/2/2010

276136 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0243U / - 0 UN RA / UN

Administered by: Other Private      Purchased by: Other Private
Symptoms: Abdominal pain upper, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of Gardasil. the GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home. home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


Changed on 4/7/2010

276136 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Asthenia, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


Changed on 6/14/2014

276136 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Asthenia, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


Changed on 5/14/2017

276136 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Asthenia, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


Changed on 9/14/2017

276136 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:California
Vaccinated:2007-03-01
Onset:2007-03-01
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / 0 1 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain upper, Asthenia, Dizziness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA00629

Write-up:Information has been received from a physician concerning a 23 year old female patient who on 01-MAR-2007 was vaccinated in right deltoid with a first dose of GARDASIL vaccine, lot #656372/0243U. The patient became dizzy after receiving the injection. She also had stomach cramps when she got home (severe). Weakness and the start of menses shortly after the vaccination. Unspecified medical attention was sought. The patient''s outcome was unknown. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. The patient recovered from stomach cramps and weakness on 01-MAR-2007. The outcome of dizziness was unknown. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276136&WAYBACKHISTORY=ON


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