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This is VAERS ID 280849

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 280849
Age:13.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-01
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 LA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Electrocardiogram, Fall, 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: Recurrent syncope episodes
Diagnostic Lab Data: EKG
CDC 'Split Type':

Write-up:After giving last immunization. Pt was asked how she felt fine. 2-3 min later asked her again, she said fine. She then fell back on the bed and fainted. Doctor called into the room to examine patient. Pt reacted 2-3 min later.


Changed on 12/8/2009

VAERS ID: 280849 Before After
Age:13.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-01
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 LA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / -

Administered by: Private      Purchased by: Unknown Public
Symptoms: Electrocardiogram, Fall, 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: Recurrent syncope episodes
Diagnostic Lab Data: EKG
CDC 'Split Type':

Write-up:After giving last immunization. Pt was asked how she felt fine. 2-3 min later asked her again, she said fine. She then fell back on the bed and fainted. Doctor called into the room to examine patient. Pt reacted 2-3 min later.


Changed on 4/7/2010

VAERS ID: 280849 Before After
Age:13.0
Gender:Female
Location:Arizona
Vaccinated:2007-06-01
Onset:2007-06-01
Submitted:2007-06-01
Entered:2007-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 1280F / 0 LA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1424F / 0 RA / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2115AA / 0 RA / -
TDAP: TDAP (BOOSTRIX) / GLAXOSMITHKLINE BIOLOGICALS AC52B013AA / 0 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Electrocardiogram, Fall, 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: Recurrent syncope episodes
Diagnostic Lab Data: EKG
CDC 'Split Type':

Write-up:After giving last immunization. Pt was asked how she felt fine. 2-3 min later asked her again, she said fine. She then fell back on the bed and fainted. Doctor called into the room to examine patient. Pt reacted 2-3 min later.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=280849&WAYBACKHISTORY=ON


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