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This is VAERS ID 279062

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279062
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Anorexia, Chills, Hyperhidrosis, Loss of consciousness, Immediate post-injection reaction

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

Write-up:Information has been received from a Physician Assistant (P.A.) concerning a 20 year old female with a history of depression who on 23-JAN-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included possible meningococcal vaccine, and"hormonal contraceptives (unspecified). On 23-JAN-2007 immediately post vaccination the patient /"blacked out and then threw up./" The patient arrived home and she felt like she /"passed out or fell right to sleep/", when awoke she developed chills, low gr


Changed on 12/8/2009

VAERS ID: 279062 Before After
Age:20.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-23
Onset:2007-01-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Anorexia, Chills, Hyperhidrosis, Loss of consciousness, Movement disorder, Nausea, Pyrexia, Vomiting, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: hormonal contraceptives
Current Illness:
Preexisting Conditions: Depression
Diagnostic Lab Data: Unk
CDC 'Split Type': (blank) WAES0704USA00752

Write-up:Information has been received from a Physician Assistant (P.A.) concerning a 20 year old female with a history of depression who on 23-JAN-2007 was vaccinated with a first dose of Gardasil. Concomitant therapy included possible meningococcal vaccine, and"hormonal and hormonal contraceptives (unspecified). On 23-JAN-2007 immediately post vaccination the patient /"blacked "blacked out and then threw up./" up." The patient arrived home and she felt like she /"passed "passed out or fell right to sleep/", sleep", when awoke she developed chills, low gr grade fever, sweating, nausea, no appetite, and felt like she "could not move." This happened two or three times all night between sleeping, and waking cycles with symptoms. However, at 4:00AM all symptoms stopped. Unspecified medical attention was sought. On 24-JAN-2007 patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279062&WAYBACKHISTORY=ON


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