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This is VAERS ID 276224

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276224
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: YAZ
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 22 year old female who on 02-MAR-2007 was vaccinated with second dose of Gardasil, injection (Lot#655503/0012U). Concomitant therapy included Yaz. On 02-MAR-2007, after administ"ration of Gardasil the patient experienced dizziness and was close to fainting. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness and close to fainting. The product quality complaint unit was no


Changed on 12/8/2009

276224 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: YAZ
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA01200

Write-up:Information has been received from a certified medical assistant concerning a 22 year old female who on 02-MAR-2007 was vaccinated with second dose of Gardasil, injection (Lot#655503/0012U). Concomitant therapy included Yaz. On 02-MAR-2007, after administ"ration administration of Gardasil the patient experienced dizziness and was close to fainting. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness and close to fainting. The product quality complaint unit was no not involved. Additional information has been requested. The same source also provided information concerning other patient''s experiences (WAES# 0703USA04318 and WAES# 0703USA04319).


Changed on 9/14/2017

276224 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-02
Onset:2007-03-02
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Presyncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: YAZ
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01200

Write-up:Information has been received from a certified medical assistant concerning a 22 year old female who on 02-MAR-2007 was vaccinated with second dose of Gardasil, injection (Lot#655503/0012U). Concomitant therapy included Yaz. On 02-MAR-2007, after administration of Gardasil the patient experienced dizziness and was close to fainting. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness and close to fainting. The product quality complaint unit was not involved. Additional information has been requested. The same source also provided information concerning other patient''s experiences (WAES# 0703USA04318 and WAES# 0703USA04319).


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