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This is VAERS ID 280724

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

280724
VAERS Form:
Age:19.0
Gender:Female
Location:Maryland
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-06
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:1st dose of Gardasil received on 5/31/07. Patient experienced syncope after 10-15 minutes.


Changed on 12/8/2009

280724 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Maryland
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-06
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Other
Symptoms: Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:1st dose of Gardasil received on 5/31/07. Patient experienced syncope after 10-15 minutes.


Changed on 9/14/2017

280724 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Maryland
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-06
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0212U / 0 1 LA / IM

Administered by: Private      Purchased by: Other
Symptoms: Syncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:1st dose of Gardasil received on 5/31/07. Patient experienced syncope after 10-15 minutes.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280724&WAYBACKHISTORY=ON


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