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This is VAERS ID 279488

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279488
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
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. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Pallor, 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: None
CDC 'Split Type':

Write-up:Information has been received from a physician concerning an 18 year old female with no known drug reactions/allergies who was vaccinated with Gardasil. Subsequently, the patient experienced dizziness, nauseous, starting to faint throughout the evening an"d pale. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness, nauseous, starting to faint throughout the evening and turned pale. The product quality complaint unit was not involved. No further inf


Changed on 12/8/2009

279488 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Unknown
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. - / 0 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Pallor, 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: None
CDC 'Split Type': (blank) WAES0704USA03953

Write-up:Information has been received from a physician concerning an 18 year old female with no known drug reactions/allergies who was vaccinated with Gardasil. Subsequently, the patient experienced dizziness, nauseous, starting to faint throughout the evening an"d and pale. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness, nauseous, starting to faint throughout the evening and turned pale. The product quality complaint unit was not involved. No further inf information is available.


Changed on 9/14/2017

279488 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Unknown
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. - / 0 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Pallor, 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: None
CDC 'Split Type': WAES0704USA03953

Write-up:Information has been received from a physician concerning an 18 year old female with no known drug reactions/allergies who was vaccinated with Gardasil. Subsequently, the patient experienced dizziness, nauseous, starting to faint throughout the evening and pale. Therapy with human papillomavirus vaccine was discontinued. Subsequently, the patient recovered from dizziness, nauseous, starting to faint throughout the evening and turned pale. The product quality complaint unit was not involved. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279488&WAYBACKHISTORY=ON


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