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This is VAERS ID 276950

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

276950
VAERS Form:
Age:
Gender:Female
Location:Massachusetts
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. - / - - / IM

Administered by: Other      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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination w"as administered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 12/8/2009

276950 Before After
VAERS Form:
Age:
Gender:Female
Location:Massachusetts
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. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
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: Unknown
CDC 'Split Type': (blank) WAES0704USA00324

Write-up:Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination w"as was administered. The patient sought unspecified medical attention. Additional information has been requested.


Changed on 3/2/2010

276950 Before After
VAERS Form:
Age:
Gender:Female
Location:Massachusetts
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. - / - - / IM

Administered by: Other      Purchased by: Other
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: Unknown
CDC 'Split Type': WAES0704USA00324

Write-up:This is in follow-up to report (s) previously submitted on 4/13/2007. Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination was administered. The patient sought unspecified medical attention. Additional No further information has been requested. is expected.


Changed on 6/14/2014

276950 Before After
VAERS Form:
Age:
Gender:Female
Location:Massachusetts
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. - / - - / IM

Administered by: Other      Purchased by: Other
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: Unknown
CDC 'Split Type': WAES0704USA00324

Write-up:This is in follow-up to report (s) previously submitted on 4/13/2007. Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination was administered. The patient sought unspecified medical attention. No further information is expected.


Changed on 5/14/2017

276950 Before After
VAERS Form:
Age:
Gender:Female
Location:Massachusetts
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. - / - - / IM

Administered by: Other      Purchased by: Other
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: Unknown
CDC 'Split Type': WAES0704USA00324

Write-up:This is in follow-up to report (s) previously submitted on 4/13/2007. Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination was administered. The patient sought unspecified medical attention. No further information is expected.


Changed on 9/14/2017

276950 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Massachusetts
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 - / IM

Administered by: Other      Purchased by: Other
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: Unknown
CDC 'Split Type': WAES0704USA00324

Write-up:This is in follow-up to report (s) previously submitted on 4/13/2007. Information has been received from a registered nurse, via a company representative, concerning a female patient who was vaccinated, IM, with a dose of Gardasil vaccine (yeast) (date not specified). Subsequently the patient fainted after the vaccination was administered. The patient sought unspecified medical attention. No further information is expected.


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