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This is VAERS ID 281394

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281394
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-08
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 - / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, 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: syncope~Vaccine not specified (no brand name)~~0~In Patient|syncope~Vaccine not specified (no brand name)~~0~In Sibling
Other Medications: Benzaclea, Retina cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': none

Write-up:Patient became dizzy and syncopal and laid on table for 5 min. Blood pressure 100/50. Drank H2O. Walked out of office with mom 5 min later completely recovered.


Changed on 12/8/2009

281394 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-08
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 - / -

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, 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: syncope~Vaccine not specified (no brand name)~~0~In Patient|syncope~Vaccine not specified (no brand name)~~0~In Sibling
Other Medications: Benzaclea, Retina cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type': none (blank)

Write-up:Patient became dizzy and syncopal and laid on table for 5 min. Blood pressure 100/50. Drank H2O. Walked out of office with mom 5 min later completely recovered.


Changed on 4/7/2010

281394 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-08
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, 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: syncope~Vaccine not specified (no brand name)~~0~In Patient|syncope~Vaccine not specified (no brand name)~~0~In Sibling
Other Medications: Benzaclea, Retina cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient became dizzy and syncopal and laid on table for 5 min. Blood pressure 100/50. Drank H2O. Walked out of office with mom 5 min later completely recovered.


Changed on 5/14/2017

281394 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-08
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, 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: syncope~Vaccine not specified (no brand name)~~0~In name)~~0.00~In Patient|syncope~Vaccine not specified (no brand name)~~0~In name)~~0.00~In Sibling
Other Medications: Benzaclea, Retina cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient became dizzy and syncopal and laid on table for 5 min. Blood pressure 100/50. Drank H2O. Walked out of office with mom 5 min later completely recovered.


Changed on 9/14/2017

281394 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-08
Onset:2007-06-08
Submitted:2007-06-08
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / -
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 1 - / -

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, 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: syncope~Vaccine not specified (no brand name)~~0.00~In Patient|syncope~Vaccine not specified (no brand name)~~0.00~In Sibling
Other Medications: Benzaclea, Retina cream
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient became dizzy and syncopal and laid on table for 5 min. Blood pressure 100/50. Drank H2O. Walked out of office with mom 5 min later completely recovered.


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