National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 278159

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

278159
VAERS Form:
Age:24.0
Gender:Female
Location:Minnesota
Vaccinated:2007-04-09
Onset:2007-04-09
Submitted:2007-05-03
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Physical examination, Throat irritation, Immediate post-injection reaction

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: Oral contraceptives
Current Illness: None
Preexisting Conditions: PCN, Vancomycin, Sulfa, Amox. Naproxen
Allergies:
Diagnostic Lab Data: None other than Vital signs = Physical exam
CDC 'Split Type':

Write-up:Immediately after injection Pt felt lightheaded x 10 min. She was observed x 45 - 60 min. Recovered + d/c home. 1.5 - 2 hrs after shot c/o sensation of /"splinters/" in her throat. Returned to clinic 4/10/07 for evaluation = was seen in urgent care. Sx h"ad slightly improved. Observed no tx.


Changed on 12/8/2009

278159 Before After
VAERS Form:
Age:24.0
Gender:Female
Location:Minnesota
Vaccinated:2007-04-09
Onset:2007-04-09
Submitted:2007-05-03
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 LA / IM

Administered by: Other      Purchased by: Unknown Private
Symptoms: Dizziness, Physical examination, Throat irritation, Immediate post-injection reaction

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: Oral contraceptives
Current Illness: None
Preexisting Conditions: PCN, Vancomycin, Sulfa, Amox. Naproxen
Allergies:
Diagnostic Lab Data: None other than Vital signs = Physical exam
CDC 'Split Type':

Write-up:Immediately after injection Pt felt lightheaded x 10 min. She was observed x 45 - 60 min. Recovered + d/c home. 1.5 - 2 hrs after shot c/o sensation of /"splinters/" "splinters" in her throat. Returned to clinic 4/10/07 for evaluation = was seen in urgent care. Sx h"ad had slightly improved. Observed no tx.


Changed on 9/14/2017

278159 Before After
VAERS Form:(blank) 1
Age:24.0
Gender:Female
Location:Minnesota
Vaccinated:2007-04-09
Onset:2007-04-09
Submitted:2007-05-03
Entered:2007-05-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01884 / 1 2 LA / IM

Administered by: Other      Purchased by: Private
Symptoms: Dizziness, Physical examination, Throat irritation, Immediate post-injection reaction

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: Oral contraceptives
Current Illness: None
Preexisting Conditions: PCN, Vancomycin, Sulfa, Amox. Naproxen
Allergies:
Diagnostic Lab Data: None other than Vital signs = Physical exam
CDC 'Split Type':

Write-up:Immediately after injection Pt felt lightheaded x 10 min. She was observed x 45 - 60 min. Recovered + d/c home. 1.5 - 2 hrs after shot c/o sensation of "splinters" in her throat. Returned to clinic 4/10/07 for evaluation = was seen in urgent care. Sx had slightly improved. Observed no tx.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278159&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166