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This is VAERS ID 276889

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276889
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 GM / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Headache, Vision blurred

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-TRI-CYCLEN LO
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a 15 year old female patient who was vaccinated IM in the gluteus with a first dose of Gardasil in another practice. On 12-FEB-2007, she was vaccinated IM in the gluteus wit"h a second dose of Gardasil, lot #653978/0955F. Concomitant therapy included Ortho-Tri-Cyclen Lo. Within minutes of the vaccination, the patient developed dizziness, blurred vision and severe headache. The patient visited the emergency room and was diagno


Changed on 12/8/2009

VAERS ID: 276889 Before After
Age:15.0
Gender:Female
Location:Missouri
Vaccinated:2007-02-12
Onset:2007-02-12
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 GM / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Headache, Vision blurred

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO-TRI-CYCLEN LO
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0703USA04682

Write-up:Information has been received from a Licensed Practical Nurse (L.P.N.) concerning a 15 year old female patient who was vaccinated IM in the gluteus with a first dose of Gardasil in another practice. On 12-FEB-2007, she was vaccinated IM in the gluteus wit"h with a second dose of Gardasil, lot #653978/0955F. Concomitant therapy included Ortho-Tri-Cyclen Lo. Within minutes of the vaccination, the patient developed dizziness, blurred vision and severe headache. The patient visited the emergency room and was diagno diagnosed with migraines. The patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276889&WAYBACKHISTORY=ON


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