National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 276957

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 276957
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Information has been received from a registered nurse concerning a /"late teens/" female who, /"about 4 months ago,/" in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fai"nted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 276957 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-12-01
Onset:2006-12-01
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -

Administered by: Other      Purchased by: Unknown Military
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA00713

Write-up:Information has been received from a registered nurse concerning a /"late teens/" "late teens" female who, /"about "about 4 months ago,/" ago," in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fai"nted fainted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 276957 Before After
Age:(blank) 15.0
Gender:Female
Location:Unknown
Vaccinated:2006-12-01 2006-10-23
Onset:2006-12-01 2006-10-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0637F / 0 1 - / - IM

Administered by: Other      Purchased by: Military Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA00713

Write-up:Information has been received from a registered nurse concerning a "late teens" female who, "about 4 months ago," in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fainted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female with an allergy to KEFLEX who on 27-JUL-2006 and 23-OCT-2006 was vaccinated IM with her first and second 0.5 ml dose of GARDASIL (lot# 653937/0637F). It was reported that the patient came in for her third dose and she told the nurse that she had passed out a couple hours after her second vaccination (recovered same day 23-OCT-2006). She was advised per her physician''s office that she could not be administered the vaccine without a parent available to drive her home. The patient came back in with her mother. The patient''s mother was advised that this reaction could be worse than the second reaction and could possible require medical attention. The patient was vaccinated IM with her third 0.5 ml dose on 14-FEB-2007. The patient''s mother agreed to monitor her that evening. Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 276957 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA00713

Write-up:Information has been received from a registered nurse concerning a "late teens" female who, "about 4 months ago," in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fainted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female with an allergy to KEFLEX who on 27-JUL-2006 and 23-OCT-2006 was vaccinated IM with her first and second 0.5 ml dose of GARDASIL (lot# 653937/0637F). It was reported that the patient came in for her third dose and she told the nurse that she had passed out a couple hours after her second vaccination (recovered same day 23-OCT-2006). She was advised per her physician''s office that she could not be administered the vaccine without a parent available to drive her home. The patient came back in with her mother. The patient''s mother was advised that this reaction could be worse than the second reaction and could possible require medical attention. The patient was vaccinated IM with her third 0.5 ml dose on 14-FEB-2007. The patient''s mother agreed to monitor her that evening. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 276957 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA00713

Write-up:Information has been received from a registered nurse concerning a "late teens" female who, "about 4 months ago," in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fainted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female with an allergy to KEFLEX who on 27-JUL-2006 and 23-OCT-2006 was vaccinated IM with her first and second 0.5 ml dose of GARDASIL (lot# 653937/0637F). It was reported that the patient came in for her third dose and she told the nurse that she had passed out a couple hours after her second vaccination (recovered same day 23-OCT-2006). She was advised per her physician''s office that she could not be administered the vaccine without a parent available to drive her home. The patient came back in with her mother. The patient''s mother was advised that this reaction could be worse than the second reaction and could possible require medical attention. The patient was vaccinated IM with her third 0.5 ml dose on 14-FEB-2007. The patient''s mother agreed to monitor her that evening. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 276957 Before After
Age:15.0
Gender:Female
Location:Unknown
Vaccinated:2006-10-23
Onset:2006-10-23
Submitted:2007-04-13
Entered:2007-04-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Allergic reaction to antibiotics
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA00713

Write-up:Information has been received from a registered nurse concerning a "late teens" female who, "about 4 months ago," in approximately December 2006, was vaccinated with her first dose of Gardasil (dose and date not reported). Subsequently the patient fainted about six hours after receiving her first dose. Patient reported experience when in office for second dose. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 4/13/2007. Information has been received from a licensed practical nurse concerning a 15 year old female with an allergy to KEFLEX who on 27-JUL-2006 and 23-OCT-2006 was vaccinated IM with her first and second 0.5 ml dose of GARDASIL (lot# 653937/0637F). It was reported that the patient came in for her third dose and she told the nurse that she had passed out a couple hours after her second vaccination (recovered same day 23-OCT-2006). She was advised per her physician''s office that she could not be administered the vaccine without a parent available to drive her home. The patient came back in with her mother. The patient''s mother was advised that this reaction could be worse than the second reaction and could possible require medical attention. The patient was vaccinated IM with her third 0.5 ml dose on 14-FEB-2007. The patient''s mother agreed to monitor her that evening. Additional information is not expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=276957&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166