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This is VAERS ID 277817

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 277817
Age:
Gender:Female
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / - - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant therapy included MENACTRA. Subsequently on an unspecified date, the pat"ient /"passed out/" 15 minutes after receiving Gardasil. The patient was sent to the hospital but the length of stay was unknown. Subsequently on an unspecified date, the patient recovered from the event. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 277817 Before After
Age:
Gender:Female
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / AVENTIS PASTEUR - / - - / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA06507

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant therapy included MENACTRA. Subsequently on an unspecified date, the pat"ient /"passed out/" patient "passed out" 15 minutes after receiving Gardasil. The patient was sent to the hospital but the length of stay was unknown. Subsequently on an unspecified date, the patient recovered from the event. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 277817 Before After
Age:
Gender:Female
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA06507

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant therapy included MENACTRA. Subsequently on an unspecified date, the patient "passed out" 15 minutes after receiving Gardasil. The patient was sent to the hospital but the length of stay was unknown. Subsequently on an unspecified date, the patient recovered from the event. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 277817 Before After
Age:
Gender:Female
Location:Louisiana
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-02
Entered:2007-05-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / AVENTIS PASTEUR SANOFI PASTEUR - / - - / -

Administered by: Private      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA06507

Write-up:Information has been received from a physician concerning a female (age not reported) who on an unspecified date was vaccinated with the first dose of Gardasil, injection. Concomitant therapy included MENACTRA. Subsequently on an unspecified date, the patient "passed out" 15 minutes after receiving Gardasil. The patient was sent to the hospital but the length of stay was unknown. Subsequently on an unspecified date, the patient recovered from the event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277817&WAYBACKHISTORY=ON


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