National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279163

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279163
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinni"ng sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of


Changed on 12/8/2009

279163 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinni"ng spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 8/31/2010

279163 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 4/13/2011

279163 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 5/13/2011

279163 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 6/11/2011

279163 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


Changed on 9/14/2017

279163 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New Jersey
Vaccinated:2006-10-26
Onset:2007-02-01
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Paraesthesia, Vertigo, Basilar migraine

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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA01034

Write-up:Information has been received from a physician concerning a female (age not reported) who on 26-OCT-2006 was vaccinated with a first dose of Gardasil. In February 2007, approximately 3 to 4 months after receiving Gardasil, the patient experienced a spinning sensation along with tingly, paralyzed feeling. The physician stated that it was possibly basilar artery migraine, and the physician referred the patient to a neurologist. The physician did not plan to continue the series of injections. At the time of this report, the outcome was unknown. Additional information has been requested.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279163&WAYBACKHISTORY=ON


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