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This is VAERS ID 279265

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279265
VAERS Form:
Age:14.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Head injury, Pyrexia, Syncope, X-ray normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: LEXAPRO
Current Illness: Allergic rhinitis, sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan of head and skull X-ray (-) (obtained secondary to fall/ head injury)
CDC 'Split Type':

Write-up:1. Syncope shortly after with head injury (contusion) had CT scan in ER next day which was ok. 2. Fever next day (101.2)


Changed on 12/8/2009

279265 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Computerised tomogram normal, Head injury, Pyrexia, Syncope, X-ray normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: LEXAPRO
Current Illness: Allergic rhinitis, sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan of head and skull X-ray (-) (obtained secondary to fall/ head injury)
CDC 'Split Type':

Write-up:1. Syncope shortly after with head injury (contusion) had CT scan in ER next day which was ok. 2. Fever next day (101.2)


Changed on 9/14/2017

279265 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:North Carolina
Vaccinated:2007-05-14
Onset:2007-05-14
Submitted:2007-05-17
Entered:2007-05-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Computerised tomogram normal, Head injury, Pyrexia, Syncope, X-ray normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: LEXAPRO
Current Illness: Allergic rhinitis, sinusitis
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: CT Scan of head and skull X-ray (-) (obtained secondary to fall/ head injury)
CDC 'Split Type':

Write-up:1. Syncope shortly after with head injury (contusion) had CT scan in ER next day which was ok. 2. Fever next day (101.2)


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279265&WAYBACKHISTORY=ON


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