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This is VAERS ID 276658

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276658
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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 a physician concerning a female (age not reported) who on an unspecified date was vaccinated intramuscularly with a dose of Gardasil (yeast). Subsequently, the patient fainted 2 days after receiving the Gardasil vaccine."The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 12/8/2009

276658 Before After
VAERS Form:
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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) WAES0703USA02176

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated intramuscularly with a dose of Gardasil (yeast). Subsequently, the patient fainted 2 days after receiving the Gardasil vaccine."The vaccine. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

276658 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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': WAES0703USA02176

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated intramuscularly with a dose of Gardasil (yeast). Subsequently, the patient fainted 2 days after receiving the Gardasil vaccine. The patient sought unspecified medical attention. At the time of this report, the outcome was unknown. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276658&WAYBACKHISTORY=ON


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