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This is VAERS ID 279643

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279643
Age:13.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Flushing, Hyperhidrosis

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':

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 13 year old female patient who on 19-FEB-2007 was vaccinated IM a first dose of with Gardasil lot #653736/0689F and on 24-APR-2007 she was vaccinated IM with a second dose of Gardas"il lot # 655849/0263U. She became dizzy and flushed with sweating within minutes after her second injection was given. She quickly recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 279643 Before After
Age:13.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Flushing, Hyperhidrosis

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': (blank) WAES0704USA06677

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 13 year old female patient who on 19-FEB-2007 was vaccinated IM a first dose of with Gardasil lot #653736/0689F and on 24-APR-2007 she was vaccinated IM with a second dose of Gardas"il Gardasil lot # 655849/0263U. She became dizzy and flushed with sweating within minutes after her second injection was given. She quickly recovered. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 279643 Before After
Age:13.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 - UN / IM

Administered by: Other Private      Purchased by: Other
Symptoms: Dizziness, Flushing, Hyperhidrosis

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': WAES0704USA06677

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 13 year old female patient who on 19-FEB-2007 was vaccinated IM a first dose of with Gardasil lot #653736/0689F and on 24-APR-2007 she was vaccinated IM with a second dose of Gardasil lot # 655849/0263U. She became dizzy and flushed with sweating within minutes after her second injection was given. She quickly recovered. Additional information has been requested. Additional information is not exepcted.


Changed on 6/14/2014

VAERS ID: 279643 Before After
Age:13.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Flushing, Hyperhidrosis

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': WAES0704USA06677

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 13 year old female patient who on 19-FEB-2007 was vaccinated IM a first dose of with Gardasil lot #653736/0689F and on 24-APR-2007 she was vaccinated IM with a second dose of Gardasil lot # 655849/0263U. She became dizzy and flushed with sweating within minutes after her second injection was given. She quickly recovered. Additional information has been requested. Additional information is not exepcted.


Changed on 5/14/2017

VAERS ID: 279643 Before After
Age:13.0
Gender:Female
Location:Indiana
Vaccinated:2007-04-24
Onset:2007-04-24
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Flushing, Hyperhidrosis

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': WAES0704USA06677

Write-up:Information has been received from a Registered Nurse (R.N.) concerning a 13 year old female patient who on 19-FEB-2007 was vaccinated IM a first dose of with Gardasil lot #653736/0689F and on 24-APR-2007 she was vaccinated IM with a second dose of Gardasil lot # 655849/0263U. She became dizzy and flushed with sweating within minutes after her second injection was given. She quickly recovered. Additional information has been requested. Additional information is not exepcted.


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