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This is VAERS ID 279179

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279179
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-26
Onset:2007-03-26
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: Dizziness, Injection site pain, Syncope

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

Write-up:Information has been received from a Registered Nurse (R.N.) concerning an 11 year old female patient who on 26-MAR-2007 was vaccinated with the first dose of 0.5 mL of Gardasil. The /"patients became light headed and fainted after receiving the dose of G"ardasil./" The nurse reported that the patient had /"experienced 2 weeks of injection site soreness./" Unspecified medical attention was sought by the patient. Injection site soreness persisted. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279179 Before After
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2007-03-26
Onset:2007-03-26
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: Dizziness, Injection site pain, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA01490

Write-up:Information has been received from a Registered Nurse (R.N.) concerning an 11 year old female patient who on 26-MAR-2007 was vaccinated with the first dose of 0.5 mL of Gardasil. The /"patients "patients became light headed and fainted after receiving the dose of G"ardasil./" Gardasil." The nurse reported that the patient had /"experienced "experienced 2 weeks of injection site soreness./" soreness." Unspecified medical attention was sought by the patient. Injection site soreness persisted. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279179&WAYBACKHISTORY=ON


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