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This is VAERS ID 279178

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279178
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the pati"ents recovered. Additional information has been requested.


Changed on 12/8/2009

279178 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA01480

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the pati"ents patients recovered. Additional information has been requested.


Changed on 3/2/2010

279178 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA01480

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patients recovered. Additional information has been requested. This is in follow-up to report previously sumitted on 5/14/2007. Information has been received from a physician concerning female patients who were vaccinated with GARDASIL. The patient had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patient recovered.


Changed on 6/14/2014

279178 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA01480

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patients recovered. Additional information has been requested. This is in follow-up to report previously sumitted on 5/14/2007. Information has been received from a physician concerning female patients who were vaccinated with GARDASIL. The patient had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patient recovered.


Changed on 5/14/2017

279178 Before After
VAERS Form:
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA01480

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patients recovered. Additional information has been requested. This is in follow-up to report previously sumitted on 5/14/2007. Information has been received from a physician concerning female patients who were vaccinated with GARDASIL. The patient had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patient recovered.


Changed on 9/14/2017

279178 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:New Jersey
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA01480

Write-up:Information has been received from a physician concerning female patients who were vaccinated with Gardasil. The patients had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patients recovered. Additional information has been requested. This is in follow-up to report previously sumitted on 5/14/2007. Information has been received from a physician concerning female patients who were vaccinated with GARDASIL. The patient had fainting episodes when seeing size of the syringe. Some had fainting episodes after receiving the vaccine. Subsequently, the patient recovered.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279178&WAYBACKHISTORY=ON


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