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This is VAERS ID 277995

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

277995
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-04
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a school nurse concerning an approximately 16 year old female who on an unspecified date was vaccinated with a dose of Gardasil. Approximately 5 minutes after receiving the dose, the patient experienced a fainting spell"and a seizure. Unspecified medical attention was sought. Subsequently, the patient recovered. Upon internal review, the patient''''s seizure was considered an other important medical event. Additional information has been requested.


Changed on 12/8/2009

277995 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-04
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA06669

Write-up:Information has been received from a school nurse concerning an approximately 16 year old female who on an unspecified date was vaccinated with a dose of Gardasil. Approximately 5 minutes after receiving the dose, the patient experienced a fainting spell"and spell and a seizure. Unspecified medical attention was sought. Subsequently, the patient recovered. Upon internal review, the patient''''s patient''s seizure was considered an other important medical event. Additional information has been requested.


Changed on 9/14/2017

277995 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-04
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Convulsion, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06669

Write-up:Information has been received from a school nurse concerning an approximately 16 year old female who on an unspecified date was vaccinated with a dose of Gardasil. Approximately 5 minutes after receiving the dose, the patient experienced a fainting spell and a seizure. Unspecified medical attention was sought. Subsequently, the patient recovered. Upon internal review, the patient''s seizure was considered an other important medical event. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=277995&WAYBACKHISTORY=ON


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