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This is VAERS ID 279623

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279623
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subseque"ntly, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Addi


Changed on 12/8/2009

279623 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0704USA06049

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subseque"ntly, Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Addi Additional information has been requested.


Changed on 3/2/2010

279623 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06049

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information has been requested. Information has been received from a physician and a nurse concerning a 21 year old female who on 25-APR-2007 was vaccinated IM into the left deltoid with a first dose of GARDASIL. There was no illness at the time of vaccination. Concomitant therapy included ZOLFT and YASMIN. On 25-APR-2007 the patinet reported feeling lightheaded, like she was going to pass out and sasw spots for 20 to 30 seconds. It was reported that she felt better right away. On 25-APR-207 the patient recovered. The patient had no problems since. This is one of two reports received from the same source. Additional information is not expected.


Changed on 6/14/2014

279623 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06049

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information has been requested. Information has been received from a physician and a nurse concerning a 21 year old female who on 25-APR-2007 was vaccinated IM into the left deltoid with a first dose of GARDASIL. There was no illness at the time of vaccination. Concomitant therapy included ZOLFT and YASMIN. On 25-APR-2007 the patinet reported feeling lightheaded, like she was going to pass out and sasw spots for 20 to 30 seconds. It was reported that she felt better right away. On 25-APR-207 the patient recovered. The patient had no problems since. This is one of two reports received from the same source. Additional information is not expected.


Changed on 5/14/2017

279623 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06049

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information has been requested. Information has been received from a physician and a nurse concerning a 21 year old female who on 25-APR-2007 was vaccinated IM into the left deltoid with a first dose of GARDASIL. There was no illness at the time of vaccination. Concomitant therapy included ZOLFT and YASMIN. On 25-APR-2007 the patinet reported feeling lightheaded, like she was going to pass out and sasw spots for 20 to 30 seconds. It was reported that she felt better right away. On 25-APR-207 the patient recovered. The patient had no problems since. This is one of two reports received from the same source. Additional information is not expected.


Changed on 9/14/2017

279623 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-25
Onset:2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Visual disturbance

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: ZOLOFT; YASMIN
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0704USA06049

Write-up:Information has been received from a physician concerning a 21 year old female who on 25-APR-2007 was vaccinated with Gardasil. Concomitant therapy included ZOLOFT and YASMIN. On 25-APR-2007 the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information has been requested. Information has been received from a physician and a nurse concerning a 21 year old female who on 25-APR-2007 was vaccinated IM into the left deltoid with a first dose of GARDASIL. There was no illness at the time of vaccination. Concomitant therapy included ZOLFT and YASMIN. On 25-APR-2007 the patinet reported feeling lightheaded, like she was going to pass out and sasw spots for 20 to 30 seconds. It was reported that she felt better right away. On 25-APR-207 the patient recovered. The patient had no problems since. This is one of two reports received from the same source. Additional information is not expected.


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