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This is VAERS ID 279689

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279689
VAERS Form:
Age:21.0
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. - / - - / 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: Unknown
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 was vaccinated with Gardasil. Subsequently, the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spo"ts. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Addi


Changed on 12/8/2009

279689 Before After
VAERS Form:
Age:21.0
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. - / - - / 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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated with Gardasil. Subsequently, the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spo"ts. spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Addi Additional information has been requested.


Changed on 3/2/2010

279689 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:Unknown California
Vaccinated:0000-00-00 2007-04-25
Onset:0000-00-00 2007-04-25
Submitted:2007-05-14
Entered:2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 03840 / - - LA / IM

Administered by: Other Private      Purchased by: Other Private
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 No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with Gardasil. a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. Subsequently, the patient recovered from feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.


Changed on 4/7/2010

279689 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
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. 03840 / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Pain in extremity, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.


Changed on 6/14/2014

279689 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
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. 03840 / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Pain in extremity, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.


Changed on 5/14/2017

279689 Before After
VAERS Form:
Age:21.0
Gender:Female
Location:California
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. 03840 / - LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Pain in extremity, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.


Changed on 9/14/2017

279689 Before After
VAERS Form:(blank) 1
Age:21.0
Gender:Female
Location:California
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. 03840 / - UNK LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Pain in extremity, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01662

Write-up:Information has been received from a physician concerning a 21 year old female who was vaccinated on 25-APR-2007 at 12:00 pm with a first dose of GARDASIL vaccine (lot # "03840") in the left arm. Subsequently, the patient reported feeling lightheaded and saw spots. This is one of two reports received from the same source. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available. Additional information has been requested. This is in follow-up to report (s) previously submitted on 5/14/2007. On 25-APR-2007, at 12:00 pm, the patient reported feeling lightheaded, dizzy, and saw a few spost for about 2 minutes. The patient also experienced arm soreness for 24 hours. Subsequently, the patient recovered from feeling lightheaded, dizzy, saw a few spots, and arm soreness. This is one of two reports received from the same source. Additional information is not expected.


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