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This is VAERS ID 276554

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276554
VAERS Form:
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03194 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizziness following HPV injection, clamy, pale blood pressure went from 110/68 decreased to 80/52


Changed on 12/8/2009

276554 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03194 / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizziness following HPV injection, clamy, pale blood pressure went from 110/68 decreased to 80/52


Changed on 9/14/2017

276554 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Arizona
Vaccinated:2007-04-06
Onset:2007-04-06
Submitted:2007-04-10
Entered:2007-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 03194 / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure decreased, Cold sweat, Dizziness, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Dizziness following HPV injection, clamy, pale blood pressure went from 110/68 decreased to 80/52


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276554&WAYBACKHISTORY=ON


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