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This is VAERS ID 280723

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280723
Age:19.0
Gender:Female
Location:Maryland
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-06
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0211U / 1 LA / IM

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:
Preexisting Conditions: Allergic to Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was administered her 2nd dose of Gardasil on 5/21/07. After 10 minutes the patient was exiting the office and experienced syncope.


Changed on 12/8/2009

VAERS ID: 280723 Before After
Age:19.0
Gender:Female
Location:Maryland
Vaccinated:2007-05-21
Onset:2007-05-21
Submitted:2007-06-06
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0211U / 1 LA / IM

Administered by: Private      Purchased by: Unknown Other
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:
Preexisting Conditions: Allergic to Bactrim
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient was administered her 2nd dose of Gardasil on 5/21/07. After 10 minutes the patient was exiting the office and experienced syncope.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280723&WAYBACKHISTORY=ON


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