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This is VAERS ID 276220

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276220
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope

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 nurse concerning a 17 year old female who on 07-MAR-2007 was vaccinated with a 0.5 mL second dose of Gardasil. On 07-MAR-2007, the patient experienced a headache then fainted after receiving the second dose of Gardasil". The patient''''s blood pressure was slightly elevated while she passed out. The patient was advised to sit down for 15-20 minutes after the Gardasil was administered but refused to be seated to passing out. The patient was taken to the emergency room but


Changed on 12/8/2009

276220 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope

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) WAES0703USA01156

Write-up:Information has been received from a nurse concerning a 17 year old female who on 07-MAR-2007 was vaccinated with a 0.5 mL second dose of Gardasil. On 07-MAR-2007, the patient experienced a headache then fainted after receiving the second dose of Gardasil". Gardasil. The patient''''s patient''s blood pressure was slightly elevated while she passed out. The patient was advised to sit down for 15-20 minutes after the Gardasil was administered but refused to be seated to passing out. The patient was taken to the emergency room but refused care. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 3/2/2010

276220 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-07 2007-03-06
Onset:2007-03-07 2007-03-06
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1447F / 1 UN LL / UN

Administered by: Other Private      Purchased by: Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope

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': WAES0703USA01156

Write-up:This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a nurse concerning a 17 year old female who on 07-MAR-2007 06-MAR-2007 was vaccinated in the higher anterolateral area of the left thigh with a 0.5 mL second dose of Gardasil. On 07-MAR-2007, GARDASIL (lot 655617/1447F). At the time of vaccination, the patient experienced was alert and good spirits. The nurse did not notice any bleeding after the injection, but she placed a small bandaid at the injection site. The nurse asked the patient if she was okay, and the patient replied "yes". The patient walked to the check out counter and stated that she had a headache then fainted and was rubbing her head. The patient was advised to sit down for 15-20 minutes after receiving the second dose of Gardasil. GARDASIL was administered but refused to be seated to passing out. The patient''s blood pressure was slightly elevated while she passed out. The patient nurse was advised called to sit down for 15-20 minutes the waiting room after the Gardasil patient fainted. Neurologic check grossly intact. One tooth was administered but refused to be seated to passing out. bleeding. The patient was taken to the emergency room and checked in. When the patient''s father arrived, the patient stated that she did not want to stay. The father asked if patient was okay. The nurse informed him that she was okay, but the physician thought the patient should be evaluated at the emergency room. The patient''s father refused care. treatment. At the time of this report, the outcome was unknown. Additional No additional information has been requested. is expected.


Changed on 4/7/2010

276220 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LL / UN

Administered by: Private      Purchased by: Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope, Tooth injury, Neurological examination normal

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': WAES0703USA01156

Write-up:This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a nurse concerning a 17 year old female who on 06-MAR-2007 was vaccinated in the higher anterolateral area of the left thigh with a 0.5 mL second dose of GARDASIL (lot 655617/1447F). At the time of vaccination, the patient was alert and good spirits. The nurse did not notice any bleeding after the injection, but she placed a small bandaid at the injection site. The nurse asked the patient if she was okay, and the patient replied "yes". The patient walked to the check out counter and stated that she had a headache and was rubbing her head. The patient was advised to sit down for 15-20 minutes after the GARDASIL was administered but refused to be seated to passing out. The patient''s blood pressure was slightly elevated while she passed out. The nurse was called to the waiting room after the patient fainted. Neurologic check grossly intact. One tooth was bleeding. The patient was taken to the emergency room and checked in. When the patient''s father arrived, the patient stated that she did not want to stay. The father asked if patient was okay. The nurse informed him that she was okay, but the physician thought the patient should be evaluated at the emergency room. The patient''s father refused treatment. At the time of this report, the outcome was unknown. No additional information is expected.


Changed on 6/14/2014

276220 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LL / UN

Administered by: Private      Purchased by: Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope, Tooth injury, Neurological examination normal

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': WAES0703USA01156

Write-up:This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a nurse concerning a 17 year old female who on 06-MAR-2007 was vaccinated in the higher anterolateral area of the left thigh with a 0.5 mL second dose of GARDASIL (lot 655617/1447F). At the time of vaccination, the patient was alert and good spirits. The nurse did not notice any bleeding after the injection, but she placed a small bandaid at the injection site. The nurse asked the patient if she was okay, and the patient replied "yes". The patient walked to the check out counter and stated that she had a headache and was rubbing her head. The patient was advised to sit down for 15-20 minutes after the GARDASIL was administered but refused to be seated to passing out. The patient''s blood pressure was slightly elevated while she passed out. The nurse was called to the waiting room after the patient fainted. Neurologic check grossly intact. One tooth was bleeding. The patient was taken to the emergency room and checked in. When the patient''s father arrived, the patient stated that she did not want to stay. The father asked if patient was okay. The nurse informed him that she was okay, but the physician thought the patient should be evaluated at the emergency room. The patient''s father refused treatment. At the time of this report, the outcome was unknown. No additional information is expected.


Changed on 5/14/2017

276220 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 LL / UN

Administered by: Private      Purchased by: Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope, Tooth injury, Neurological examination normal

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': WAES0703USA01156

Write-up:This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a nurse concerning a 17 year old female who on 06-MAR-2007 was vaccinated in the higher anterolateral area of the left thigh with a 0.5 mL second dose of GARDASIL (lot 655617/1447F). At the time of vaccination, the patient was alert and good spirits. The nurse did not notice any bleeding after the injection, but she placed a small bandaid at the injection site. The nurse asked the patient if she was okay, and the patient replied "yes". The patient walked to the check out counter and stated that she had a headache and was rubbing her head. The patient was advised to sit down for 15-20 minutes after the GARDASIL was administered but refused to be seated to passing out. The patient''s blood pressure was slightly elevated while she passed out. The nurse was called to the waiting room after the patient fainted. Neurologic check grossly intact. One tooth was bleeding. The patient was taken to the emergency room and checked in. When the patient''s father arrived, the patient stated that she did not want to stay. The father asked if patient was okay. The nurse informed him that she was okay, but the physician thought the patient should be evaluated at the emergency room. The patient''s father refused treatment. At the time of this report, the outcome was unknown. No additional information is expected.


Changed on 9/14/2017

276220 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:South Carolina
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 2 LL / UN

Administered by: Private      Purchased by: Other
Symptoms: Blood pressure increased, Headache, Loss of consciousness, Syncope, Tooth injury, Neurological examination normal

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': WAES0703USA01156

Write-up:This is in follow-up to report(s) previously submitted on 4/6/2007. Information has been received from a nurse concerning a 17 year old female who on 06-MAR-2007 was vaccinated in the higher anterolateral area of the left thigh with a 0.5 mL second dose of GARDASIL (lot 655617/1447F). At the time of vaccination, the patient was alert and good spirits. The nurse did not notice any bleeding after the injection, but she placed a small bandaid at the injection site. The nurse asked the patient if she was okay, and the patient replied "yes". The patient walked to the check out counter and stated that she had a headache and was rubbing her head. The patient was advised to sit down for 15-20 minutes after the GARDASIL was administered but refused to be seated to passing out. The patient''s blood pressure was slightly elevated while she passed out. The nurse was called to the waiting room after the patient fainted. Neurologic check grossly intact. One tooth was bleeding. The patient was taken to the emergency room and checked in. When the patient''s father arrived, the patient stated that she did not want to stay. The father asked if patient was okay. The nurse informed him that she was okay, but the physician thought the patient should be evaluated at the emergency room. The patient''s father refused treatment. At the time of this report, the outcome was unknown. No additional information is expected.


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