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This is VAERS ID 276692

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276692
Age:
Gender:Female
Location:California
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Information has been received from a medical assistant concerning a female who on approximately 05-MAR-2007 was vaccinated with the first dose of Gardasil. On approximately 05-MAR-2007 the patient fainted in the waiting room 10 minutes after vaccination."The patient was recovering. The patient will discontinue further series of the vaccine. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276692 Before After
Age:
Gender:Female
Location:California
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA03189

Write-up:Information has been received from a medical assistant concerning a female who on approximately 05-MAR-2007 was vaccinated with the first dose of Gardasil. On approximately 05-MAR-2007 the patient fainted in the waiting room 10 minutes after vaccination."The vaccination. The patient was recovering. The patient will discontinue further series of the vaccine. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276692 Before After
Age:
Gender:Female
Location:California
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA03189

Write-up:Information has been received from a medical assistant concerning a female who on approximately 05-MAR-2007 was vaccinated with the first dose of Gardasil. On approximately 05-MAR-2007 the patient fainted in the waiting room 10 minutes after vaccination. The patient was recovering. The patient will discontinue further series of the vaccine. Additional information has been requested. This is in follow-up to report (s) previously submittedon 4/13/2007. No Further information expected. It was reported that another female fainted after GARDASIL vaccination (WAES 0403USA04745).


Changed on 6/14/2014

VAERS ID: 276692 Before After
Age:
Gender:Female
Location:California
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA03189

Write-up:Information has been received from a medical assistant concerning a female who on approximately 05-MAR-2007 was vaccinated with the first dose of Gardasil. On approximately 05-MAR-2007 the patient fainted in the waiting room 10 minutes after vaccination. The patient was recovering. The patient will discontinue further series of the vaccine. Additional information has been requested. This is in follow-up to report (s) previously submittedon 4/13/2007. No Further information expected. It was reported that another female fainted after GARDASIL vaccination (WAES 0403USA04745).


Changed on 5/14/2017

VAERS ID: 276692 Before After
Age:
Gender:Female
Location:California
Vaccinated:2007-03-05
Onset:2007-03-05
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA03189

Write-up:Information has been received from a medical assistant concerning a female who on approximately 05-MAR-2007 was vaccinated with the first dose of Gardasil. On approximately 05-MAR-2007 the patient fainted in the waiting room 10 minutes after vaccination. The patient was recovering. The patient will discontinue further series of the vaccine. Additional information has been requested. This is in follow-up to report (s) previously submittedon 4/13/2007. No Further information expected. It was reported that another female fainted after GARDASIL vaccination (WAES 0403USA04745).


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