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This is VAERS ID 276891

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276891
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up:Information has been received from a physician, concerning a 15 year old female patient, who on 22-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant vaccine administration included DTaP (manufacturer unspecified) and a third vaccine [th"erapy unspecified]. On approximately 22-MAR-2007 the patient experienced dizziness. At the time of this report, the patient''''s dizziness persisted. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276891 Before After
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-03-22
Onset:2007-03-22
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Wrong drug administered

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA04708

Write-up:Information has been received from a physician, concerning a 15 year old female patient, who on 22-MAR-2007 was vaccinated with the first dose of Gardasil. Concomitant vaccine administration included DTaP (manufacturer unspecified) and a third vaccine [th"erapy [therapy unspecified]. On approximately 22-MAR-2007 the patient experienced dizziness. At the time of this report, the patient''''s patient''s dizziness persisted. The patient sought unspecified medical attention. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276891&WAYBACKHISTORY=ON


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