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This is VAERS ID 279992

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 279992
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-05-22
Onset:2007-05-22
Submitted:2007-05-23
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M0171U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Fainting episode within 5 minutes of Gardasil injection


Changed on 3/2/2010

VAERS ID: 279992 Before After
Age:17.0
Gender:Female
Location:Washington
Vaccinated:2007-05-22
Onset:2007-05-22
Submitted:2007-05-23 2007-07-06
Entered:2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. M0171U 655620/0171U / 0 LA / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None Concurrent Conditions: Anxiety, Panic Attack
Preexisting Conditions: Anxiety/Panic attacks
Diagnostic Lab Data: None blood pressure, 05/22/07, 115/6;pulse oximetry, 05/22/07, 97 percent; total heartbeat count, 05/22/07, 68
CDC 'Split Type':

Write-up:Fainting episode within 5 minutes of Gardasil injection injection. This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow-up information has been received from a physician concerning a 17 year old female with anxiety and panic attack who on 22-MAY-2007, at 16:30 was vaccinated, into the left deltoid , with a first dose of GARDASIL vaccine (yeast) (lot #. On 22-MAY-2007, at 16:33, the patient experienced fainting. Blood pressure was 115/60, heart rate was 68 and oxygen saturation was 97 percent. On 22-MAY-2007, within a few minutes , the patient recovered without medical intervention.. No further infoarmation is available


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=279992&WAYBACKHISTORY=ON


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