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This is VAERS ID 281435

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281435
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 RA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Vomiting

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:
Current Illness: Sports Px
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within 10 minutes of injection, patient became light headed and passed out. Approximately 20 minutes after injection nausea and vomiting began. Sent to ER due to persistence of feeling ill.


Changed on 12/8/2009

VAERS ID: 281435 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 RA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Vomiting

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:
Current Illness: Sports Px
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within 10 minutes of injection, patient became light headed and passed out. Approximately 20 minutes after injection nausea and vomiting began. Sent to ER due to persistence of feeling ill.


Changed on 9/14/2017

VAERS ID: 281435 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 0 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Vomiting

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:
Current Illness: Sports Px
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within 10 minutes of injection, patient became light headed and passed out. Approximately 20 minutes after injection nausea and vomiting began. Sent to ER due to persistence of feeling ill.


Changed on 2/14/2018

VAERS ID: 281435 Before After
VAERS Form:1
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Vomiting

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:
Current Illness: Sports Px
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within 10 minutes of injection, patient became light headed and passed out. Approximately 20 minutes after injection nausea and vomiting began. Sent to ER due to persistence of feeling ill.


Changed on 6/14/2018

VAERS ID: 281435 Before After
VAERS Form:1
Age:16.0
Gender:Female
Location:California
Vaccinated:2007-06-11
Onset:2007-06-11
Submitted:2007-06-12
Entered:2007-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0523U / 1 RA / -

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness, Malaise, Nausea, Vomiting

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:
Current Illness: Sports Px
Preexisting Conditions: NKDA
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within 10 minutes of injection, patient became light headed and passed out. Approximately 20 minutes after injection nausea and vomiting began. Sent to ER due to persistence of feeling ill.

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