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This is VAERS ID 276838

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276838
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-08
Onset:2007-01-08
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
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, via a company representative, concerning an 18 year old female patient who on 08-JAN-2007 was vaccinated with the first dose, 0.5 of Gardasil, and on approximately 08-MAR-2007 (/"two months later/") was vacc"inated with the second dose, 0.5 ml, of Gardasil. The physician reported that on 08-JAN-2007, soon after receiving the first vaccination, the patient passed out, /"she recovered after a short while in the physician office./" Following the second vaccinati


Changed on 12/8/2009

VAERS ID: 276838 Before After
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-01-08
Onset:2007-01-08
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA03921

Write-up:Information has been received from a physician, via a company representative, concerning an 18 year old female patient who on 08-JAN-2007 was vaccinated with the first dose, 0.5 of Gardasil, and on approximately 08-MAR-2007 (/"two ("two months later/") later") was vacc"inated vaccinated with the second dose, 0.5 ml, of Gardasil. The physician reported that on 08-JAN-2007, soon after receiving the first vaccination, the patient passed out, /"she "she recovered after a short while in the physician office./" office." Following the second vaccinati vaccination, the physician reported the patient "had no ill effects". Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276838&WAYBACKHISTORY=ON


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