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This is VAERS ID 281112

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281112
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-05
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2234AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR 2644AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope, Tremor

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

Write-up:Had Syncopal episode lasting 5 seconds immediately following injections (3). Brief shaking associated with syncope. PMH - similar episode when treated for ingrown toenail.


Changed on 12/8/2009

VAERS ID: 281112 Before After
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-05
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2234AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR 2644AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Syncope, Tremor

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

Write-up:Had Syncopal episode lasting 5 seconds immediately following injections (3). Brief shaking associated with syncope. PMH - similar episode when treated for ingrown toenail.


Changed on 4/7/2010

VAERS ID: 281112 Before After
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-25
Onset:2007-05-25
Submitted:2007-06-05
Entered:2007-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2234AA / 0 LA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR 2644AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Syncope, Tremor

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

Write-up:Had Syncopal episode lasting 5 seconds immediately following injections (3). Brief shaking associated with syncope. PMH - similar episode when treated for ingrown toenail.


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