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This is VAERS ID 276696

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276696
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration a"nd dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed.


Changed on 12/8/2009

276696 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

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

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0703USA03394

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration a"nd and dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed. Additional information has been requested.


Changed on 3/2/2010

276696 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - 0 - UN / IM

Administered by: Private      Purchased by: Other Private
Symptoms: Dizziness

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03394

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration and dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. In follow-up, it was reported there were no further details to provide. Additional information is not expected.


Changed on 6/14/2014

276696 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03394

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration and dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. In follow-up, it was reported there were no further details to provide. Additional information is not expected.


Changed on 5/14/2017

276696 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03394

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration and dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. In follow-up, it was reported there were no further details to provide. Additional information is not expected.


Changed on 9/14/2017

276696 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-07
Onset:2007-03-07
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UNK UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03394

Write-up:Information has been received from a physician concerning a 14 year old female who on 07-MAR-2007 was vaccinated with the first dose of 0.5ml of Gardasil IM. During the same visit, the patient was vaccinated with hepatitis A vaccine (inactive) (duration and dose not reported). The patient returned to the office 4 hours after her appointment complaining of dizziness. The patient was monitored for 1 hour. During that time, the patient recovered from dizziness and was sent home. No lab testing was performed. Additional information has been requested. This is in follow-up to report(s) previously submitted on 4/13/2007. In follow-up, it was reported there were no further details to provide. Additional information is not expected.


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