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This is VAERS ID 276242

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276242
Age:16.0
Gender:Female
Location:Unknown
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. 0960F / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 16 year old female who on 07-MAR-2007, was vaccinated with Gardasil (Lot# 654535/0960F). There was no local site reaction but on 07-MAR-2007, the patient became dizzy and pale. The pati"ent had to wait 20 minutes in the waiting room before she was fine (recovered). Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276242 Before After
Age:16.0
Gender:Female
Location:Unknown
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. 0960F / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04052

Write-up:Information has been received from a health professional concerning a 16 year old female who on 07-MAR-2007, was vaccinated with Gardasil (Lot# 654535/0960F). There was no local site reaction but on 07-MAR-2007, the patient became dizzy and pale. The pati"ent patient had to wait 20 minutes in the waiting room before she was fine (recovered). Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276242&WAYBACKHISTORY=ON


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