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This is VAERS ID 278505

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 278505
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2171AA / 0 LA / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Cold sweat, Dizziness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt C/O feeling dizzy, pt fainted, skin cold and clammy; pt regained consciousness and vital were within normal range; pt rested with a cold pack to her forehead.


Changed on 12/8/2009

VAERS ID: 278505 Before After
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2171AA / 0 LA / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Cold sweat, Dizziness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt C/O feeling dizzy, pt fainted, skin cold and clammy; pt regained consciousness and vital were within normal range; pt rested with a cold pack to her forehead.


Changed on 4/7/2010

VAERS ID: 278505 Before After
Age:18.0
Gender:Female
Location:Texas
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-14
Entered:2007-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2171AA / 0 LA / IM

Administered by: Other      Purchased by: Other
Symptoms: Cold sweat, Dizziness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt C/O feeling dizzy, pt fainted, skin cold and clammy; pt regained consciousness and vital were within normal range; pt rested with a cold pack to her forehead.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=278505&WAYBACKHISTORY=ON


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