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This is VAERS ID 279502

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279502
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
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: Presyncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient /"almost fainted/". The patient sought unspecified medical"attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279502 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-04-19
Onset:2007-04-19
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: Presyncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient /"almost fainted/". "almost fainted". The patient sought unspecified medical"attention. medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279502 Before After
Age:(blank) 17.0
Gender:Female
Location:Unknown Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0013U / 0 1 UN LA / UN IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Presyncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


Changed on 4/7/2010

VAERS ID: 279502 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Presyncope, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


Changed on 8/31/2010

VAERS ID: 279502 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Presyncope, Syncope vasovagal, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


Changed on 1/4/2011

VAERS ID: 279502 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Presyncope, Syncope vasovagal, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


Changed on 6/14/2014

VAERS ID: 279502 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Presyncope, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


Changed on 5/14/2017

VAERS ID: 279502 Before After
Age:17.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-04-19
Onset:2007-04-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0013U / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Presyncope, Similar reaction on previous exposure to drug

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04285

Write-up:Information has been received from a nurse practitioner concerning a female (age unknown) who on 19-APR-2007 was vaccinated with a first dose of Gardasil. After receiving the Gardasil, the patient "almost fainted". The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered. No product quality complaint was involved. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 19-APR-2007 at 10:59 was vaccinated intramuscularly into the left arm with a second dose of GARDASIL (Lot #654741/0013U). After receiving the GARDASIL (also reported as 10:30), the patient "almost fainted" and had a vasovagal response. There was no loss of consciousness. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. On 19-APR-2007, the patient recovered as the symptoms only lasted a few minutes. No product quality complaint was involved. No additional information is expected.


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