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This is VAERS ID 279052

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279052
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal discomfort, Blood pressure decreased, Dizziness, Hypotension

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness: Sulfonamide allergy; House dust allergy; Mycotic allergy
Preexisting Conditions: Mitral value prolapse; Mitral regurgitation; Cardiac disorder; Syncope; Migraine
Diagnostic Lab Data: blood pressure 03/30/07 117/8
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 20 year old female student with sulfonamide allergy, house dust allergy and mycotic allergy and a history of mitral value prolapse, mitral value regurgitation, /"other episodes/" of syncope, cardiac"disorder and migraines who on 29-MAR-2007 was vaccinated with Gardasil IM in the left deltoid. Concomitant therapy included Ortho-Tri-Cyclen. On 29-MAR-2007, immediately following vaccination, the patient felt faint and nauseous. The patient''''s blood pres


Changed on 12/8/2009

VAERS ID: 279052 Before After
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-29
Onset:2007-03-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0243U / - LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal discomfort, Blood pressure decreased, Dizziness, Hypotension, Nausea

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ORTHO TRI-CYCLEN
Current Illness: Sulfonamide allergy; House dust allergy; Mycotic allergy
Preexisting Conditions: Mitral value prolapse; Mitral regurgitation; Cardiac disorder; Syncope; Migraine
Diagnostic Lab Data: blood pressure 03/30/07 117/8
CDC 'Split Type': (blank) WAES0704USA00593

Write-up:Information has been received from a nurse concerning a 20 year old female student with sulfonamide allergy, house dust allergy and mycotic allergy and a history of mitral value prolapse, mitral value regurgitation, /"other episodes/" "other episodes" of syncope, cardiac"disorder cardiac disorder and migraines who on 29-MAR-2007 was vaccinated with Gardasil IM in the left deltoid. Concomitant therapy included Ortho-Tri-Cyclen. On 29-MAR-2007, immediately following vaccination, the patient felt faint and nauseous. The patient''''s patient''s blood pres pressure was 117/86. The patient was treated with smelling salts, cool compress, food and cranberry juice. The patient went home after feeling better. On 30-Mar-2007 the patient visited the physician in the student health center at school where the patient complained of nauseousness and dizziness. The physician''s diagnosis was hypotension and GI upset. On 03-Apr-2007 the nurse contacted the patient who was fully recovered from the events. The patient will continue the series of vaccinations. Additional information has been requested.


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