National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 279673

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279673
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Loss of consciousness, Immediate post-injection reaction

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 physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient /"passed out immediately after"receiving first dose of Gardasil; /"she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional infor


Changed on 12/8/2009

VAERS ID: 279673 Before After
Age:19.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Loss of consciousness, Immediate post-injection reaction

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) WAES0705USA00433

Write-up:Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient /"passed "passed out immediately after"receiving after receiving first dose of Gardasil; /"she "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional infor information has been requested.


Changed on 3/2/2010

VAERS ID: 279673 Before After
Age:19.0 20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0187U / 0 UN / UN

Administered by: Other Private      Purchased by: Other
Symptoms: Loss of consciousness, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown None
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0705USA00433

Write-up:Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient "passed out immediately after receiving first dose of Gardasil; "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician and a healthcare worker, concerning a 20 year old (previously reported as 19 year old) female patient, with no known drug allergies, who on 30-APR-2007, at 11:45am, was vaccinated with the first dose of GARDASIL (Lot #656049/0187U). There was no illness at the time of vaccination. The physician originally reported that the patient "passed out immediately after receiving first dose of GARDASIL" but the healthcare worker (who administered the vaccination), clarified that at 11:55am, the patient "felt dizzy and complained of nausea, she dropped to the floor, but was conscious". The patient''s blood pressure was reported as normal, and she was helped to a chair, given water, and was then okay. The physician added that the patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. No further information is expected.


Changed on 4/7/2010

VAERS ID: 279673 Before After
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Nausea, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00433

Write-up:Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient "passed out immediately after receiving first dose of Gardasil; "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician and a healthcare worker, concerning a 20 year old (previously reported as 19 year old) female patient, with no known drug allergies, who on 30-APR-2007, at 11:45am, was vaccinated with the first dose of GARDASIL (Lot #656049/0187U). There was no illness at the time of vaccination. The physician originally reported that the patient "passed out immediately after receiving first dose of GARDASIL" but the healthcare worker (who administered the vaccination), clarified that at 11:55am, the patient "felt dizzy and complained of nausea, she dropped to the floor, but was conscious". The patient''s blood pressure was reported as normal, and she was helped to a chair, given water, and was then okay. The physician added that the patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. No further information is expected.


Changed on 6/14/2014

VAERS ID: 279673 Before After
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Nausea, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00433

Write-up:Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient "passed out immediately after receiving first dose of Gardasil; "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician and a healthcare worker, concerning a 20 year old (previously reported as 19 year old) female patient, with no known drug allergies, who on 30-APR-2007, at 11:45am, was vaccinated with the first dose of GARDASIL (Lot #656049/0187U). There was no illness at the time of vaccination. The physician originally reported that the patient "passed out immediately after receiving first dose of GARDASIL" but the healthcare worker (who administered the vaccination), clarified that at 11:55am, the patient "felt dizzy and complained of nausea, she dropped to the floor, but was conscious". The patient''s blood pressure was reported as normal, and she was helped to a chair, given water, and was then okay. The physician added that the patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. No further information is expected.


Changed on 5/14/2017

VAERS ID: 279673 Before After
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0187U / 0 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Nausea, Immediate post-injection reaction

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA00433

Write-up:Information has been received from a physician, via a company representative, concerning a 19 year old female patient who on 30-APR-2007 was vaccinated with the first dose of Gardasil. The physician reported that the patient "passed out immediately after receiving first dose of Gardasil; "she added that that patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. The patient sought unspecified medical attention. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 5/14/2007. Initial and follow up information has been received from a physician and a healthcare worker, concerning a 20 year old (previously reported as 19 year old) female patient, with no known drug allergies, who on 30-APR-2007, at 11:45am, was vaccinated with the first dose of GARDASIL (Lot #656049/0187U). There was no illness at the time of vaccination. The physician originally reported that the patient "passed out immediately after receiving first dose of GARDASIL" but the healthcare worker (who administered the vaccination), clarified that at 11:55am, the patient "felt dizzy and complained of nausea, she dropped to the floor, but was conscious". The patient''s blood pressure was reported as normal, and she was helped to a chair, given water, and was then okay. The physician added that the patient had not eaten all day prior to receiving the vaccination. The patient recovered on 30-APR-2007, the same day of vaccination. No further information is expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279673&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166