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This is VAERS ID 276887

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276887
Age:20.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose, Drug administered at inappropriate site, Pallor, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: Blood glucose 03/19/2007 110
CDC 'Split Type':

Write-up:Information has been received from a nurse, via a company representative, concerning a 20 year old female with a history of an abnormal papanicolaou smear, who on 19-MAR-2007 was vaccinated, iM in the buttocks, with the second dose of Gardasil. There was"no concomitant medication. The nurse reported that on 19-MAR-2007, a few minutes after the vaccination, the patient /"turned pale and fainted for a few seconds./" The nurse reported the patient''''s blood sugar was 110 (units not specified). Subsequently, t


Changed on 12/8/2009

VAERS ID: 276887 Before After
Age:20.0
Gender:Female
Location:North Carolina
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 GM / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood glucose, Drug administered at inappropriate site, Pallor, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Papanicolaou smear abnormal
Diagnostic Lab Data: Blood glucose 03/19/2007 110
CDC 'Split Type': (blank) WAES0703USA04616

Write-up:Information has been received from a nurse, via a company representative, concerning a 20 year old female with a history of an abnormal papanicolaou smear, who on 19-MAR-2007 was vaccinated, iM in the buttocks, with the second dose of Gardasil. There was"no was no concomitant medication. The nurse reported that on 19-MAR-2007, a few minutes after the vaccination, the patient /"turned "turned pale and fainted for a few seconds./" seconds." The nurse reported the patient''''s patient''s blood sugar was 110 (units not specified). Subsequently, t the patient recovered on the same day. additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276887&WAYBACKHISTORY=ON


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