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This is VAERS ID 281418

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281418
VAERS Form:
Age:12.0
Gender:Female
Location:South Dakota
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. 0384U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed difficulty breathing, light-headed, dizzy skin-diaphoretic,pale nauseated-felt like she was going to faint. Symptoms started 2-3 minutes after vaccination.


Changed on 12/8/2009

281418 Before After
VAERS Form:
Age:12.0
Gender:Female
Location:South Dakota
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. 0384U / 0 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed difficulty breathing, light-headed, dizzy skin-diaphoretic,pale nauseated-felt like she was going to faint. Symptoms started 2-3 minutes after vaccination.


Changed on 9/14/2017

281418 Before After
VAERS Form:(blank) 1
Age:12.0
Gender:Female
Location:South Dakota
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. 0384U / 0 1 LA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Dyspnoea, Hyperhidrosis, Nausea, Pallor

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient developed difficulty breathing, light-headed, dizzy skin-diaphoretic,pale nauseated-felt like she was going to faint. Symptoms started 2-3 minutes after vaccination.


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