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This is VAERS ID 276892

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276892
VAERS Form:
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a female who was vaccinated with the first dose of Gardasil. Subsequently, the patient fainted on the exam table after vaccination. The patient will discontinue further series of the vaccin"e. Patient outcome was unknown. Additional information has been requested. It was reported that another female fainted after Gardasil vaccination (WAES0703USA03189).


Changed on 12/8/2009

276892 Before After
VAERS Form:
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0703USA04745

Write-up:Information has been received from a medical assistant concerning a female who was vaccinated with the first dose of Gardasil. Subsequently, the patient fainted on the exam table after vaccination. The patient will discontinue further series of the vaccin"e. vaccine. Patient outcome was unknown. Additional information has been requested. It was reported that another female fainted after Gardasil vaccination (WAES0703USA03189).


Changed on 9/14/2017

276892 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:California
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0703USA04745

Write-up:Information has been received from a medical assistant concerning a female who was vaccinated with the first dose of Gardasil. Subsequently, the patient fainted on the exam table after vaccination. The patient will discontinue further series of the vaccine. Patient outcome was unknown. Additional information has been requested. It was reported that another female fainted after Gardasil vaccination (WAES0703USA03189).


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276892&WAYBACKHISTORY=ON


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