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This is VAERS ID 279988

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279988
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-07
Onset:2007-05-07
Submitted:2007-05-24
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB130AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 RA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: 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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Syncopal episode following Gardasil


Changed on 12/8/2009

VAERS ID: 279988 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-07
Onset:2007-05-07
Submitted:2007-05-24
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB130AA / 1 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 RA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: 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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Syncopal episode following Gardasil


Changed on 9/14/2017

VAERS ID: 279988 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-07
Onset:2007-05-07
Submitted:2007-05-24
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB130AA / 1 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 0 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Syncopal episode following Gardasil


Changed on 2/14/2018

VAERS ID: 279988 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-07
Onset:2007-05-07
Submitted:2007-05-24
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB130AA / 2 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: 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:
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Syncopal episode following Gardasil


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279988&WAYBACKHISTORY=ON


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