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This is VAERS ID 276808

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276808
Age:17.0
Gender:Female
Location:West Virginia
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: Loss of consciousness

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 physician concerning a 17 year old female who was vaccinated with Gardasil. Subsequently the patient passed out 4 days after vaccination. Patient outcome was not reported. The patient sought unspecified medical attenti"on. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276808 Before After
Age:17.0
Gender:Female
Location:West Virginia
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: Loss of consciousness

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) WAES0703USA03526

Write-up:Information has been received from a physician concerning a 17 year old female who was vaccinated with Gardasil. Subsequently the patient passed out 4 days after vaccination. Patient outcome was not reported. The patient sought unspecified medical attenti"on. attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276808&WAYBACKHISTORY=ON


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