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This is VAERS ID 277188

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277188
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type':

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


Changed on 12/8/2009

277188 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type': (blank) TX07027

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


Changed on 1/5/2010

277188 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 - UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type': TX07027

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


Changed on 6/14/2014

277188 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type': TX07027

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


Changed on 2/14/2017

277188 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type': TX07027

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


Changed on 9/14/2017

277188 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:Texas
Vaccinated:2007-03-30
Onset:2007-03-30
Submitted:2007-03-30
Entered:2007-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Headache

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Fluoride
Current Illness: Type II Diabetes
Preexisting Conditions: No known drug allergies, just diagnosed with Type II Diabetes
Allergies:
Diagnostic Lab Data: No test performed at the office on 3-30-07.
CDC 'Split Type': TX07027

Write-up:3/30/07 10:00 AM HPV vaccine was administered on her left upper arm sitting on an exam table. 2-3 minutes after administering vaccine, pt. c/o a headache and dizziness. Pt. was placed on exam table in a laying position.


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