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This is VAERS ID 276248

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276248
Age:20.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Injection site pain, Nausea, Hot flush, Immediate post-injection reaction

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: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 20 year old female student who on 21-DEC-2006, at 2:00PM, was vaccinated IM, into the left deltoid, with a first dose of Gardasil (Lot# 653937/0637F). There was no illness at the time of v"accination. On 21-DEC-2006, after the injection, at 2:00PM, the patient became lightheaded and nauseated, /"approximately 15 minutes/". The nurse also reported the injection was very painful when vaccine contents injected into muscle and the patient had a


Changed on 12/8/2009

VAERS ID: 276248 Before After
Age:20.0
Gender:Female
Location:Illinois
Vaccinated:2006-12-21
Onset:2006-12-21
Submitted:2007-04-06
Entered:2007-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Injection site pain, Nausea, Hot flush, Immediate post-injection reaction

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: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04432

Write-up:Information has been received from a registered nurse concerning a 20 year old female student who on 21-DEC-2006, at 2:00PM, was vaccinated IM, into the left deltoid, with a first dose of Gardasil (Lot# 653937/0637F). There was no illness at the time of v"accination. vaccination. On 21-DEC-2006, after the injection, at 2:00PM, the patient became lightheaded and nauseated, /"approximately "approximately 15 minutes/". minutes". The nurse also reported the injection was very painful when vaccine contents injected into muscle and the patient had a hot flash. On 23-FEB-2007, at 3:15PM, the patient was vaccinated IM, into the left deltoid, with a second dose of Gardasil (Lot# 654389/0961F). There was no illness at the time of vaccination. The nurse reported that the patient felt a hot flash immediately post injection . The second injection was also said to be very painful when vaccine contents injected into the muscle (not from needle placement), for "five minutes". No further information is expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276248&WAYBACKHISTORY=ON


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