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This is VAERS ID 276930

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276930
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type':

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning an 18 year old female patient who was vaccinated with a dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. On 29-MAR-2007 the pati"ent recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276930 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0703USA05533

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning an 18 year old female patient who was vaccinated with a dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. On 29-MAR-2007 the pati"ent patient recovered. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 276930 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
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: Other      Purchased by: Other
Symptoms: 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05533

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning an 18 year old female patient who was vaccinated with a dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. On 29-MAR-2007 the patient recovered. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 276930 Before After
VAERS Form:1
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
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: Other      Purchased by: Other
Symptoms: 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unk
Current Illness:
Preexisting Conditions: Unk
Allergies:
Diagnostic Lab Data: Unk
CDC 'Split Type': WAES0703USA05533

Write-up: Information has been received from a Nurse Practitioner (N.P.) concerning an 18 year old female patient who was vaccinated with a dose of Gardasil and fainted after receiving the injection. Unspecified medical attention was sought. On 29-MAR-2007 the patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276930&WAYBACKHISTORY=ON


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