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This is VAERS ID 277665

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277665
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Hypotension, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 16 year old female with no pertinent medical history who on 23-APR-2007 was vaccinated, intramuscularly, with a 0.5 ml first dose Gardasil (lot #653736/0014U). There were no concomitant medicatio"n. On 23-APR-2007, while attempting to leave the physician''''s office, the patient /"appeared to have a seizure/" and lost consciousness. It was reported that the incident lasted only a few seconds. When the patient regained consciousness it was discovered


Changed on 12/8/2009

VAERS ID: 277665 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-04-30
Entered:2007-05-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Hypotension, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA05616

Write-up:Information has been received from a physician concerning a 16 year old female with no pertinent medical history who on 23-APR-2007 was vaccinated, intramuscularly, with a 0.5 ml first dose Gardasil (lot #653736/0014U). There were no concomitant medicatio"n. medication. On 23-APR-2007, while attempting to leave the physician''''s physician''s office, the patient /"appeared "appeared to have a seizure/" seizure" and lost consciousness. It was reported that the incident lasted only a few seconds. When the patient regained consciousness it was discovered that her blood pressure was low. On 23-APR-2007, the patient recovered and was able to leave the physician''s office with her mother. Upon internal review, "appeared to have a seizure" was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277665&WAYBACKHISTORY=ON


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