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This is VAERS ID 276861

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276861
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Abdominal pain, Dizziness, Feeling abnormal, Loss of consciousness, Syncope

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 nurse, concerning a 20 year old female student, who on 06-MAR-2007 at 11:00 am, was vaccinated with the first dose, 0.5ml, IM in the left deltoid, of Gardasil (Lot # 654702/0011U). The nurse reported that /"approximate"ly 5 minutes after/" the vaccination (time reported as 11:15am), the patient /"felt lightheaded and fainted, lost consciousness for approximately less than a minute./" The nurse stated that the patient complained of feeling /"strange in her head/" and exp


Changed on 12/8/2009

276861 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Abdominal pain, Dizziness, Feeling abnormal, Loss of consciousness, Syncope

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) WAES0703USA04153

Write-up:Information has been received from a nurse, concerning a 20 year old female student, who on 06-MAR-2007 at 11:00 am, was vaccinated with the first dose, 0.5ml, IM in the left deltoid, of Gardasil (Lot # 654702/0011U). The nurse reported that /"approximate"ly "approximately 5 minutes after/" after" the vaccination (time reported as 11:15am), the patient /"felt "felt lightheaded and fainted, lost consciousness for approximately less than a minute./" minute." The nurse stated that the patient complained of feeling /"strange "strange in her head/" head" and exp experienced abdominal cramps" that lasted for approximately 20 minutes. The nurse indicated that the patient had not had breakfast that morning and felt better after drinking some orange juice. The patient recovered from the events on 07-MAR-2007. No further information is expected.


Changed on 9/14/2017

276861 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:New York
Vaccinated:2007-03-06
Onset:2007-03-06
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Abdominal pain, Dizziness, Feeling abnormal, Loss of consciousness, Syncope

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': WAES0703USA04153

Write-up:Information has been received from a nurse, concerning a 20 year old female student, who on 06-MAR-2007 at 11:00 am, was vaccinated with the first dose, 0.5ml, IM in the left deltoid, of Gardasil (Lot # 654702/0011U). The nurse reported that "approximately 5 minutes after" the vaccination (time reported as 11:15am), the patient "felt lightheaded and fainted, lost consciousness for approximately less than a minute." The nurse stated that the patient complained of feeling "strange in her head" and experienced abdominal cramps" that lasted for approximately 20 minutes. The nurse indicated that the patient had not had breakfast that morning and felt better after drinking some orange juice. The patient recovered from the events on 07-MAR-2007. No further information is expected.


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