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This is VAERS ID 280449

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280449
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-04
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2277AA / - RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0455U / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Syncope

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

Write-up:After few moments of receiving multiple vax and Gardasil, patient had a syncope, blood pressure dropped. She recovered. 06/06/07-records received. Vaccine record documents on 5/30/07 Gardasil lot# 0522U, Varicella Lot #0455U, Menactra lot#U2277AA, Hepatit"is A 2 lot#0246U. After vaccination patien left room and had loss of consciousness for 10 seconds. BP 88/54. Felt better after resting. Walked out of office with mother


Changed on 12/8/2009

VAERS ID: 280449 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-04
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2277AA / - RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0455U / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Syncope

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

Write-up:After few moments of receiving multiple vax and Gardasil, patient had a syncope, blood pressure dropped. She recovered. 06/06/07-records received. Vaccine record documents on 5/30/07 Gardasil lot# 0522U, Varicella Lot #0455U, Menactra lot#U2277AA, Hepatit"is Hepatitis A 2 lot#0246U. After vaccination patien left room and had loss of consciousness for 10 seconds. BP 88/54. Felt better after resting. Walked out of office with mother


Changed on 4/7/2010

VAERS ID: 280449 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-04
Entered:2007-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0246U / 1 RA / UN
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2277AA / - RA / UN
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0455U / 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Syncope

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

Write-up:After few moments of receiving multiple vax and Gardasil, patient had a syncope, blood pressure dropped. She recovered. 06/06/07-records received. Vaccine record documents on 5/30/07 Gardasil lot# 0522U, Varicella Lot #0455U, Menactra lot#U2277AA, Hepatitis A 2 lot#0246U. After vaccination patien left room and had loss of consciousness for 10 seconds. BP 88/54. Felt better after resting. Walked out of office with mother


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