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This is VAERS ID 281574

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281574
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-13
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB114AN / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt given HPV vaccine at 11:35 at 11:40 began to give Hep A vaccine, at beginning of administration client lost consciencousness. VS were as follows BP 110/70, pulse 74 Resp 20, client awoke independantly. EMT''''s had been called and responded by 11:44, b"enedryl 50mg given per MD order. Client recovered and she and her mother declined transport to Emergency room.


Changed on 12/8/2009

VAERS ID: 281574 Before After
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-13
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB114AN / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt given HPV vaccine at 11:35 at 11:40 began to give Hep A vaccine, at beginning of administration client lost consciencousness. VS were as follows BP 110/70, pulse 74 Resp 20, client awoke independantly. EMT''''s EMT''s had been called and responded by 11:44, b"enedryl benedryl 50mg given per MD order. Client recovered and she and her mother declined transport to Emergency room.


Changed on 7/31/2010

VAERS ID: 281574 Before After
Age:15.0
Gender:Female
Location:Florida
Vaccinated:2007-06-13
Onset:2007-06-13
Submitted:2007-06-13
Entered:2007-06-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB114AN / 1 RA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / IM

Administered by: Public Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt given HPV vaccine at 11:35 at 11:40 began to give Hep A vaccine, at beginning of administration client lost consciencousness. VS were as follows BP 110/70, pulse 74 Resp 20, client awoke independantly. EMT''s had been called and responded by 11:44, benedryl 50mg given per MD order. Client recovered and she and her mother declined transport to Emergency room.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281574&WAYBACKHISTORY=ON


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