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This is VAERS ID 280281

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280281
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-05-29
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Asthenia, Dizziness, Injection site reaction, Nausea, Pallor

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:
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Injection given and pt became weak, color drained from face and felt nauseated and faint. Pt did not faint- no LOC


Changed on 12/8/2009

280281 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-05-29
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Asthenia, Dizziness, Injection site reaction, Nausea, Pallor

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:
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Injection given and pt became weak, color drained from face and felt nauseated and faint. Pt did not faint- no LOC


Changed on 9/14/2017

280281 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-05-29
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Injection site reaction, Nausea, Pallor

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:
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Injection given and pt became weak, color drained from face and felt nauseated and faint. Pt did not faint- no LOC


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280281&WAYBACKHISTORY=ON


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