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This is VAERS ID 279549

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279549
Age:16.0
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. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Feeling cold, Loss of consciousness, Tremor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. Additi"onal information has been requested.


Changed on 12/8/2009

VAERS ID: 279549 Before After
Age:16.0
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. - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Feeling cold, Loss of consciousness, Tremor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0704USA05498

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. Additi"onal Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279549 Before After
Age:16.0
Gender:Female
Location:Unknown Michigan
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. - / - 1 - AR / - IM

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Feeling cold, Loss of consciousness, Tremor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA05498

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. 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 an other health professional and a physician concerning a 16 year old female who was vaccinated IM into the deltoid with an entire second 0.5ml dose of GARDASIL (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, was cold and shaking. The physician reported that the patient experienced a syncopal episode with approximately 30 seconds of clonic activity and urinary incontinence. The physician mentioned there was no post ictal confusion. The patient did well with Trendelenburg and rest. The physician reported that the patient was ok for discharge after approximately 10 minutes of monitoring. Subsequently, the patient recovered from syncopal episode, urinary incontinence and clonic activity. No product quality complaint was involved. Upon internal review, clonic activity was considered to be an other important medical event. Additional information is not expected.


Changed on 7/31/2010

VAERS ID: 279549 Before After
Age:16.0
Gender:Female
Location:Michigan
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. - / 1 AR / IM

Administered by: Other      Purchased by: Other
Symptoms: Clonus, Feeling cold, Loss of consciousness, Syncope, Tremor, Urinary incontinence

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: Unknown
CDC 'Split Type': WAES0704USA05498

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. 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 an other health professional and a physician concerning a 16 year old female who was vaccinated IM into the deltoid with an entire second 0.5ml dose of GARDASIL (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, was cold and shaking. The physician reported that the patient experienced a syncopal episode with approximately 30 seconds of clonic activity and urinary incontinence. The physician mentioned there was no post ictal confusion. The patient did well with Trendelenburg and rest. The physician reported that the patient was ok for discharge after approximately 10 minutes of monitoring. Subsequently, the patient recovered from syncopal episode, urinary incontinence and clonic activity. No product quality complaint was involved. Upon internal review, clonic activity was considered to be an other important medical event. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 279549 Before After
Age:16.0
Gender:Female
Location:Michigan
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. - / 1 AR / IM

Administered by: Other      Purchased by: Other
Symptoms: Clonus, Feeling cold, Loss of consciousness, Syncope, Tremor, Urinary incontinence

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: Unknown
CDC 'Split Type': WAES0704USA05498

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. 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 an other health professional and a physician concerning a 16 year old female who was vaccinated IM into the deltoid with an entire second 0.5ml dose of GARDASIL (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, was cold and shaking. The physician reported that the patient experienced a syncopal episode with approximately 30 seconds of clonic activity and urinary incontinence. The physician mentioned there was no post ictal confusion. The patient did well with Trendelenburg and rest. The physician reported that the patient was ok for discharge after approximately 10 minutes of monitoring. Subsequently, the patient recovered from syncopal episode, urinary incontinence and clonic activity. No product quality complaint was involved. Upon internal review, clonic activity was considered to be an other important medical event. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279549 Before After
Age:16.0
Gender:Female
Location:Michigan
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. - / 1 AR / IM

Administered by: Other      Purchased by: Other
Symptoms: Clonus, Feeling cold, Loss of consciousness, Syncope, Tremor, Urinary incontinence

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: Unknown
CDC 'Split Type': WAES0704USA05498

Write-up:Information has been received from a health professional concerning a 16 year old female who was vaccinated with Gardasil (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, felt cold and was shaking. 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 an other health professional and a physician concerning a 16 year old female who was vaccinated IM into the deltoid with an entire second 0.5ml dose of GARDASIL (date not provided). Subsequently, following the vaccination the patient passed out for 45 seconds, was cold and shaking. The physician reported that the patient experienced a syncopal episode with approximately 30 seconds of clonic activity and urinary incontinence. The physician mentioned there was no post ictal confusion. The patient did well with Trendelenburg and rest. The physician reported that the patient was ok for discharge after approximately 10 minutes of monitoring. Subsequently, the patient recovered from syncopal episode, urinary incontinence and clonic activity. No product quality complaint was involved. Upon internal review, clonic activity was considered to be an other important medical event. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279549&WAYBACKHISTORY=ON


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