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This is VAERS ID 278022

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278022
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-04
Onset:2007-05-04
Submitted:2007-05-04
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Convulsion, Fall, Head injury, Respiratory arrest, Syncope

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

Write-up:Pt had syncopal episode 2 minutes after injection given. Fell and hit back of head-had seizure lasting 1 min was unresponsive, not breathing x 30 min. Administered ammonia pads and called 911


Changed on 12/8/2009

VAERS ID: 278022 Before After
Age:19.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-04
Onset:2007-05-04
Submitted:2007-05-04
Entered:2007-05-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Convulsion, Fall, Head injury, Respiratory arrest, Syncope, Unresponsive to stimuli

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

Write-up:Pt had syncopal episode 2 minutes after injection given. Fell and hit back of head-had seizure lasting 1 min was unresponsive, not breathing x 30 min. Administered ammonia pads and called 911


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278022&WAYBACKHISTORY=ON


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