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This is VAERS ID 280396

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280396
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-31
Onset:2007-05-31
Submitted:2007-06-04
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Erythema, Fall, Feeling abnormal, Hypotension

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cough, cold and flu therapies
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: blood pressure 05/31/07 - /"a little low/"
CDC 'Split Type':

Write-up:Information has been received from a nurse practitioner (NP) concerning an 18 year old female who on 31-MAY-2007 was vaccinated with Gardasil (LOT # 657736/0389U). Concomitant therapy included a cough expectorant (unspecified), which was taken on the same"morning. On 31-MAY-2007, the patient went out to the reception area after she received her second Gardasil, and began /"shaking and fell down/". The NP reported that she thought that the patient had experienced /"a short seizure that lasted about 15 secon


Changed on 12/8/2009

VAERS ID: 280396 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-31
Onset:2007-05-31
Submitted:2007-06-04
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 1 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Convulsion, Erythema, Fall, Feeling abnormal, Hypotension, Injection site erythema, Pallor, Tremor, Injection site streaking

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: cough, cold and flu therapies
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: blood pressure 05/31/07 - /"a "a little low/" low"
CDC 'Split Type': (blank) WAES0706USA00016

Write-up:Information has been received from a nurse practitioner (NP) concerning an 18 year old female who on 31-MAY-2007 was vaccinated with Gardasil (LOT # 657736/0389U). Concomitant therapy included a cough expectorant (unspecified), which was taken on the same"morning. same morning. On 31-MAY-2007, the patient went out to the reception area after she received her second Gardasil, and began /"shaking "shaking and fell down/". down". The NP reported that she thought that the patient had experienced /"a "a short seizure that lasted about 15 secon seconds". The NP also reported that the patient had three red streaks running down her arm from the injection site area and that the patient stated she felt a rush down her arm at the time she was vaccinated. The patient''s blood pressure was "a little low" and her lips were pale. The patient was sent to an urgent care facility to be further evaluated. The nurse indicated that the patient did not have a reaction to the first dose of Gardasil. Upon internal review, seizure was determined to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280396&WAYBACKHISTORY=ON


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