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This is VAERS ID 279559

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279559
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

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:
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second"dose that same day. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279559 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 UN / UN

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

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:
CDC 'Split Type': (blank) WAES0704USA05279

Write-up:Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second"dose second dose that same day. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279559 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

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:
CDC 'Split Type': WAES0704USA05279

Write-up:Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second dose that same day. Additional information has been requested. is not expected.


Changed on 6/14/2014

VAERS ID: 279559 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

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:
CDC 'Split Type': WAES0704USA05279

Write-up:Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second dose that same day. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 279559 Before After
Age:24.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

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:
CDC 'Split Type': WAES0704USA05279

Write-up:Information has been received from a physician concerning a 24 year old female who on 23-APR-2007 was vaccinated with Gardasil (Lot# 657617/0384U). On 23-APR-2007 the patient fainted before receiving dose two. The patient recovered and received the second dose that same day. Additional information is not expected.


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