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This is VAERS ID 277597

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277597
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-02-07
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Fatigue, Sinusitis, Syncope, Blood test

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: none
Current Illness:
Preexisting Conditions: Hx hypoglycemia
Allergies:
Diagnostic Lab Data: CT negative, blood work 24 hr pending. On 2-21-07 doctor treated with Amoxicillin for sinusitis
CDC 'Split Type':

Write-up:patient fainted in office approx 10 min. after injection. Patient rested a few minutes then went home. About 3:30pm mother reported child was feeling fatigued and was sleeping. Pt had ER visit later. 2-21-07 pt had a followup appt


Changed on 12/8/2009

277597 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-02-07
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram normal, Fatigue, Sinusitis, Syncope, Blood test

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: none
Current Illness:
Preexisting Conditions: Hx hypoglycemia
Allergies:
Diagnostic Lab Data: CT negative, blood work 24 hr pending. On 2-21-07 doctor treated with Amoxicillin for sinusitis
CDC 'Split Type':

Write-up:patient fainted in office approx 10 min. after injection. Patient rested a few minutes then went home. About 3:30pm mother reported child was feeling fatigued and was sleeping. Pt had ER visit later. 2-21-07 pt had a followup appt


Changed on 9/14/2017

277597 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-02-07
Onset:2007-02-07
Submitted:2007-02-07
Entered:2007-04-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Fatigue, Sinusitis, Syncope, Blood test

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: none
Current Illness:
Preexisting Conditions: Hx hypoglycemia
Allergies:
Diagnostic Lab Data: CT negative, blood work 24 hr pending. On 2-21-07 doctor treated with Amoxicillin for sinusitis
CDC 'Split Type':

Write-up:patient fainted in office approx 10 min. after injection. Patient rested a few minutes then went home. About 3:30pm mother reported child was feeling fatigued and was sleeping. Pt had ER visit later. 2-21-07 pt had a followup appt


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277597&WAYBACKHISTORY=ON


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