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This is VAERS ID 276231

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276231
VAERS Form:
Age:
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) and fainted after receiving the injection. Unspecified medical attention was sought. The patien"t recovered. Additional information has been requested.


Changed on 12/8/2009

276231 Before After
VAERS Form:
Age:
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA01307

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of HPV rL1 6 11 16 18 VLP vaccine (yeast) Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. The patien"t patient recovered. Additional information has been requested.


Changed on 3/2/2010

276231 Before After
VAERS Form:
Age:(blank) 23.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0955F / 0 UN / - IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Syncope

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: Unknown
Current Illness: Diabetes
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01307

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. In follow up information it was reported that patient had episode of syncope after the injection and it was reaction to needle, not medication (occurred immediatley after withdraw of needle. Used amnoia capsule. On 03-Nov-2006 the patient recovered. Additional information is not expected.


Changed on 6/14/2014

276231 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Syncope

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: Unknown
Current Illness: Diabetes
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01307

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. In follow up information it was reported that patient had episode of syncope after the injection and it was reaction to needle, not medication (occurred immediatley after withdraw of needle. Used amnoia capsule. On 03-Nov-2006 the patient recovered. Additional information is not expected.


Changed on 5/14/2017

276231 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Syncope

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: Unknown
Current Illness: Diabetes
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01307

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. In follow up information it was reported that patient had episode of syncope after the injection and it was reaction to needle, not medication (occurred immediatley after withdraw of needle. Used amnoia capsule. On 03-Nov-2006 the patient recovered. Additional information is not expected.


Changed on 9/14/2017

276231 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Syncope

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: Unknown
Current Illness: Diabetes
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0703USA01307

Write-up:Information has been received from an office manager concerning a female patient who was vaccinated with a first dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. The patient recovered. Additional information has been requested. This is in follow-up to report (s) previously submitted on 4/6/2007. In follow up information it was reported that patient had episode of syncope after the injection and it was reaction to needle, not medication (occurred immediatley after withdraw of needle. Used amnoia capsule. On 03-Nov-2006 the patient recovered. Additional information is not expected.


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