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This is VAERS ID 279809

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

279809
VAERS Form:
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-19
Onset:2007-05-19
Submitted:2007-05-25
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 5 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope

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: Synthroid
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Student fainted and lost consciousness for about 15 seconds at 11:00AM. Vital signs were stable before and after the episode of syncope. Student stated that she had not eaten anything that morning. She told the nurse before receiving the vaccine that s"he had not had any reaction with the first dose of HPV vaccine. After the syncope, she told the nurse that she had fainted with the first dose of HPV but she thought it was because she also had a large amount of blood drawn for tests at that same visit.


Changed on 12/8/2009

279809 Before After
VAERS Form:
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-19
Onset:2007-05-19
Submitted:2007-05-25
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 5 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope

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: Synthroid
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Student fainted and lost consciousness for about 15 seconds at 11:00AM. Vital signs were stable before and after the episode of syncope. Student stated that she had not eaten anything that morning. She told the nurse before receiving the vaccine that s"he she had not had any reaction with the first dose of HPV vaccine. After the syncope, she told the nurse that she had fainted with the first dose of HPV but she thought it was because she also had a large amount of blood drawn for tests at that same visit. Student rested at the health center for a short time and then returned to her dorm room to get ready for the convocation for graduation. She was informed about reaction symptoms and was instructed to return to the health center if she devloped any of these symptoms. She was instructed to contact her doctor at home next week after graduation.


Changed on 9/14/2017

279809 Before After
VAERS Form:(blank) 1
Age:22.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-19
Onset:2007-05-19
Submitted:2007-05-25
Entered:2007-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0014U / 5 6 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness, Syncope

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: Synthroid
Current Illness: none
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Student fainted and lost consciousness for about 15 seconds at 11:00AM. Vital signs were stable before and after the episode of syncope. Student stated that she had not eaten anything that morning. She told the nurse before receiving the vaccine that she had not had any reaction with the first dose of HPV vaccine. After the syncope, she told the nurse that she had fainted with the first dose of HPV but she thought it was because she also had a large amount of blood drawn for tests at that same visit. Student rested at the health center for a short time and then returned to her dorm room to get ready for the convocation for graduation. She was informed about reaction symptoms and was instructed to return to the health center if she devloped any of these symptoms. She was instructed to contact her doctor at home next week after graduation.


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