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This is VAERS ID 279234

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279234
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea

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: cough, cold, and flu therapies
Current Illness: Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a certified medical assistant concerning a 17 year old female with hypersensitivity who on 29-Jan-2007 was vaccinated with a first dose of Gardasil (lot# 654741/1208F). Concomitant therapy included cough, cold, and flu t"herapies (unspecified). On 29-JAN-2007 the patient experienced dizziness and nausea and sought unspecified medical attention. Subsequently, the patient recovered from the dizziness and nausea within a few hours of vaccinations. The patient was subsequentl


Changed on 12/8/2009

279234 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea

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: cough, cold, and flu therapies
Current Illness: Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA03449

Write-up:Information has been received from a certified medical assistant concerning a 17 year old female with hypersensitivity who on 29-Jan-2007 was vaccinated with a first dose of Gardasil (lot# 654741/1208F). Concomitant therapy included cough, cold, and flu t"herapies therapies (unspecified). On 29-JAN-2007 the patient experienced dizziness and nausea and sought unspecified medical attention. Subsequently, the patient recovered from the dizziness and nausea within a few hours of vaccinations. The patient was subsequentl subsequently vaccinated with her second dose of Gardasil on 16-APR-2007. Additional information has been requested.


Changed on 9/14/2017

279234 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-01-29
Onset:2007-01-29
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 0 1 - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea

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: cough, cold, and flu therapies
Current Illness: Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES0704USA03449

Write-up:Information has been received from a certified medical assistant concerning a 17 year old female with hypersensitivity who on 29-Jan-2007 was vaccinated with a first dose of Gardasil (lot# 654741/1208F). Concomitant therapy included cough, cold, and flu therapies (unspecified). On 29-JAN-2007 the patient experienced dizziness and nausea and sought unspecified medical attention. Subsequently, the patient recovered from the dizziness and nausea within a few hours of vaccinations. The patient was subsequently vaccinated with her second dose of Gardasil on 16-APR-2007. Additional information has been requested.


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