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This is VAERS ID 281434

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281434
VAERS Form:
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 2 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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Became very faint after getting immunization (Gardasil) put in supine position w/legs elevated.


Changed on 12/8/2009

281434 Before After
VAERS Form:
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 2 LA / IM

Administered by: Private      Purchased by: Unknown Private
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Became very faint after getting immunization (Gardasil) put in supine position w/legs elevated.


Changed on 9/14/2017

281434 Before After
VAERS Form:(blank) 1
Age:23.0
Gender:Female
Location:Kentucky
Vaccinated:2007-05-08
Onset:2007-05-08
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 2 3 LA / IM

Administered by: Private      Purchased by: Private
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: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Became very faint after getting immunization (Gardasil) put in supine position w/legs elevated.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281434&WAYBACKHISTORY=ON


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