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This is VAERS ID 280296

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280296
Age:10.0
Gender:Female
Location:Indiana
Vaccinated:2007-06-04
Onset:2007-06-04
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Cold sweat, Dizziness, Malaise, Nausea

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

Write-up:A few minutes after injection pt stated she didn''''t feel well. Pt put head down between legs, c/o nausea. Pt looked up and was completely pale, c/o blurred vision, ringing in ears, dizzy, clammy, lightheaded. Assisted pt to car and transported to ER. Was"dx as pre-syncope and drink fluids was discharged at 15:00


Changed on 12/8/2009

VAERS ID: 280296 Before After
Age:10.0
Gender:Female
Location:Indiana
Vaccinated:2007-06-04
Onset:2007-06-04
Submitted:2007-06-04
Entered:2007-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 1 RA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Cold sweat, Dizziness, Malaise, Nausea, Pallor, Presyncope, Tinnitus, Vision blurred

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

Write-up:A few minutes after injection pt stated she didn''''t didn''t feel well. Pt put head down between legs, c/o nausea. Pt looked up and was completely pale, c/o blurred vision, ringing in ears, dizzy, clammy, lightheaded. Assisted pt to car and transported to ER. Was"dx Was dx as pre-syncope and drink fluids was discharged at 15:00


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280296&WAYBACKHISTORY=ON


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