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This is VAERS ID 279109

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279109
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Cardiac electrophysiologic study normal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon


Changed on 12/8/2009

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immun
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 1/4/2011

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immun immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 4/13/2011

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 5/13/2011

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 6/11/2011

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 6/14/2014

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


Changed on 5/14/2017

VAERS ID: 279109 Before After
Age:20.0
Gender:Female
Location:Arizona
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted:2007-05-17
Entered:2007-05-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Chest pain, Computerised tomogram normal, Constipation, Dizziness, Echocardiogram normal, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Electroencephalogram normal, Headache, Insomnia, Orthostatic hypotension, Palpitations, Syncope, Tachycardia paroxysmal, Vision blurred, Tilt table test, Cardiac electrophysiologic study normal, Postural orthostatic tachycardia syndrome

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC 'Split Type':

Write-up:Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


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