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This is VAERS ID 279534

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279534
Age:
Gender:Female
Location:New Hampshire
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. - / - UN / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Syncope

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

Write-up:Information has been received from a physician concerning a female between 11 and 18 years old (exact age unspecified) who, on an unspecified date, was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. Subsequently, on an unspecified date, the pa"tient felt dizzy and fainted. It was noted that the patient received at least one other vaccine on the same date as when Gardasil was administered. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The pati


Changed on 12/8/2009

VAERS ID: 279534 Before After
Age:
Gender:Female
Location:New Hampshire
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. - / - UN / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0704USA04859

Write-up:Information has been received from a physician concerning a female between 11 and 18 years old (exact age unspecified) who, on an unspecified date, was vaccinated intramuscularly with a 0.5 mL dose of Gardasil. Subsequently, on an unspecified date, the pa"tient patient felt dizzy and fainted. It was noted that the patient received at least one other vaccine on the same date as when Gardasil was administered. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The pati patient recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279534 Before After
Age:(blank) 13.0
Gender:Female
Location:New Hampshire
Vaccinated:0000-00-00 2007-03-19
Onset:0000-00-00 2007-03-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1208F / - UN LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Other Private      Purchased by: Other Public
Symptoms: Dizziness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness: Vasovagal reaction; Cold sores; Attention deficit/hyperactivity disorder
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04859

Write-up:Information has been received from a physician concerning a female between 11 and 18 14 years old (exact age unspecified) female student with no drug allergies, recurrent cold sores and Attention deficit/hyperactivity disorder who, on an unspecified date, 19-MAR-2007 at 10:00 was vaccinated intramuscularly in the left deltoid with a 0.5 mL dose of Gardasil. Gardasil (Lot# 656741/12084). Concomitant vaccination included meninigococcal vaccine (unspecified) and concomitant therapy included ADDERALL. Subsequently, on an unspecified date, at approximately 10:05 the patient felt dizzy "funny" and briefly passed out (previosulsy reported as felt dizzy) and fainted. It was noted that The patient fell to the floor. After falling the patient received at least one other vaccine on woke and was able to walk to the same date as when Gardasil exam table and laid down for a while where she felt better. The physician reported that fainting was administered. due to a vasovagal reaction. The patient then seemed ok and walked out of the office. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The patient recovered on 19-MAR-2007 recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.


Changed on 4/7/2010

VAERS ID: 279534 Before After
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Fall, Feeling abnormal, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness: Vasovagal reaction; Cold sores; Attention deficit/hyperactivity disorder
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04859

Write-up:Information has been received from a physician concerning a 14 years old female student with no drug allergies, recurrent cold sores and Attention deficit/hyperactivity disorder who, on 19-MAR-2007 at 10:00 was vaccinated intramuscularly in the left deltoid with a 0.5 mL dose of Gardasil (Lot# 656741/12084). Concomitant vaccination included meninigococcal vaccine (unspecified) and concomitant therapy included ADDERALL. Subsequently, at approximately 10:05 the patient felt "funny" and briefly passed out (previosulsy reported as felt dizzy) and fainted. The patient fell to the floor. After falling the patient woke and was able to walk to the exam table and laid down for a while where she felt better. The physician reported that fainting was due to a vasovagal reaction. The patient then seemed ok and walked out of the office. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The patient recovered on 19-MAR-2007 recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 279534 Before After
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Fall, Feeling abnormal, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness: Vasovagal reaction; Cold sores; Attention deficit/hyperactivity disorder
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04859

Write-up:Information has been received from a physician concerning a 14 years old female student with no drug allergies, recurrent cold sores and Attention deficit/hyperactivity disorder who, on 19-MAR-2007 at 10:00 was vaccinated intramuscularly in the left deltoid with a 0.5 mL dose of Gardasil (Lot# 656741/12084). Concomitant vaccination included meninigococcal vaccine (unspecified) and concomitant therapy included ADDERALL. Subsequently, at approximately 10:05 the patient felt "funny" and briefly passed out (previosulsy reported as felt dizzy) and fainted. The patient fell to the floor. After falling the patient woke and was able to walk to the exam table and laid down for a while where she felt better. The physician reported that fainting was due to a vasovagal reaction. The patient then seemed ok and walked out of the office. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The patient recovered on 19-MAR-2007 recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 279534 Before After
Age:13.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / - LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Private      Purchased by: Public
Symptoms: Fall, Feeling abnormal, Loss of consciousness, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: ADDERALL TABLETS
Current Illness: Vasovagal reaction; Cold sores; Attention deficit/hyperactivity disorder
Preexisting Conditions: Unknown
Diagnostic Lab Data: None
CDC 'Split Type': WAES0704USA04859

Write-up:Information has been received from a physician concerning a 14 years old female student with no drug allergies, recurrent cold sores and Attention deficit/hyperactivity disorder who, on 19-MAR-2007 at 10:00 was vaccinated intramuscularly in the left deltoid with a 0.5 mL dose of Gardasil (Lot# 656741/12084). Concomitant vaccination included meninigococcal vaccine (unspecified) and concomitant therapy included ADDERALL. Subsequently, at approximately 10:05 the patient felt "funny" and briefly passed out (previosulsy reported as felt dizzy) and fainted. The patient fell to the floor. After falling the patient woke and was able to walk to the exam table and laid down for a while where she felt better. The physician reported that fainting was due to a vasovagal reaction. The patient then seemed ok and walked out of the office. The patient sought unspecified medical attention. No laboratory diagnostic studies were performed. The patient recovered on 19-MAR-2007 recovered on the same day as when the injection was given. No product quality complaint was involved. This is one of several reports from the same source. Additional information has been requested.


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