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This is VAERS ID 276244

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276244
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Information has been received from a certified medical assistant concerning a patient with contraception who on 07-FEB-2007 was vaccinated with second dose of Gardasil (Lot#655503/0012U). Concomitant therapy included YASMIN, PAXIL and PROTONIX. On 07-FEB-"2007, the patient experienced fainted (patient outcome not provided). Additional information has been requested. The same source also provided information regarding other patients'''' experiences (WAES#0703USA01200 and WAES#0703USA04319).


Changed on 12/8/2009

VAERS ID: 276244 Before After
Age:
Gender:Unknown
Location:Unknown
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: YASMIN, PROTONIX, PAXIL
Current Illness: Contraception
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04318

Write-up:Information has been received from a certified medical assistant concerning a patient with contraception who on 07-FEB-2007 was vaccinated with second dose of Gardasil (Lot#655503/0012U). Concomitant therapy included YASMIN, PAXIL and PROTONIX. On 07-FEB-"2007, 07-FEB-2007, the patient experienced fainted (patient outcome not provided). Additional information has been requested. The same source also provided information regarding other patients'''' patients'' experiences (WAES#0703USA01200 and WAES#0703USA04319).


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276244&WAYBACKHISTORY=ON


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