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This is VAERS ID 281696

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

281696
VAERS Form:
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood pressure increased, Chills, Dizziness, Eye pain, Headache

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: Ortho Evra Patch
Current Illness:
Preexisting Conditions: Diagnosed with Breast Fibrocystic disease at same visit 6/12/07
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past. During patient observation time she felt dizzy and had chills. Patient was placed in sup"ine postition. BP taken 122/70. Patient Dr. (resident) and Dr. were notified and assessed patient. Motrin 600mg was given to patient po. Patient stayed in observation in supine position for another hour. She stated that she was feeling better and was


Changed on 12/8/2009

281696 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood pressure increased, Chills, Dizziness, Eye pain, Headache, Throat tightness, Tremor

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: Ortho Evra Patch
Current Illness:
Preexisting Conditions: Diagnosed with Breast Fibrocystic disease at same visit 6/12/07
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past. During patient observation time she felt dizzy and had chills. Patient was placed in sup"ine supine postition. BP taken 122/70. Patient Dr. (resident) and Dr. were notified and assessed patient. Motrin 600mg was given to patient po. Patient stayed in observation in supine position for another hour. She stated that she was feeling better and was released by Dr. At approximately 12:15 pm I received a call from patient in my office. She reported that she received her shot and felt dizzy so they watched her. She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up. She denied difficulty in breathing. I asked if she was able to walk and meet me in the clinic. She stated "yes". Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees. Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16. Her lungs were CTA without wheezing. She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold. I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD''s had left for their afternoon assignments. Patient remained awake, alert oriented X3. Dr. assessed her and ordered Benadryl 25mg po. That was administered. Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98. Approximately 15 minutes past receiving Benadryl patient reported that she felt better. She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing. Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady. No difficulty in breathing or wheezing. Patient sl


Changed on 5/14/2017

281696 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 2 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood pressure increased, Chills, Dizziness, Eye pain, Headache, Throat tightness, Tremor

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: Ortho Evra Patch
Current Illness:
Preexisting Conditions: Diagnosed with Breast Fibrocystic disease at same visit 6/12/07
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past. During patient observation time she felt dizzy and had chills. Patient was placed in supine postition. BP taken 122/70. Patient Dr. (resident) and Dr. were notified and assessed patient. Motrin 600mg was given to patient po. Patient stayed in observation in supine position for another hour. She stated that she was feeling better and was released by Dr. At approximately 12:15 pm I received a call from patient in my office. She reported that she received her shot and felt dizzy so they watched her. She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up. She denied difficulty in breathing. I asked if she was able to walk and meet me in the clinic. She stated "yes". Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees. Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16. Her lungs were CTA without wheezing. She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold. I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD''s had left for their afternoon assignments. Patient remained awake, alert oriented X3. Dr. assessed her and ordered Benadryl 25mg po. That was administered. Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98. Approximately 15 minutes past receiving Benadryl patient reported that she felt better. She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing. Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady. No difficulty in breathing or wheezing. Patient sl slept throughout the afternoon. Upon her departure from the clinic patient stated that she felt "much better". Her trembling subsided.


Changed on 9/14/2017

281696 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Texas
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0702F / 2 3 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Blood pressure increased, Chills, Dizziness, Eye pain, Headache, Throat tightness, Tremor

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: Ortho Evra Patch
Current Illness:
Preexisting Conditions: Diagnosed with Breast Fibrocystic disease at same visit 6/12/07
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Gardasil vaccine number 3 given at approximately 11:10am. Patient informed vaccine administrator that this was her third shot and she never had problems in the past. During patient observation time she felt dizzy and had chills. Patient was placed in supine postition. BP taken 122/70. Patient Dr. (resident) and Dr. were notified and assessed patient. Motrin 600mg was given to patient po. Patient stayed in observation in supine position for another hour. She stated that she was feeling better and was released by Dr. At approximately 12:15 pm I received a call from patient in my office. She reported that she received her shot and felt dizzy so they watched her. She stated that she is in her car in the parking garage and that she feels more dizzy, has a headache and eye pain and she feels as if her throat is tightening up. She denied difficulty in breathing. I asked if she was able to walk and meet me in the clinic. She stated "yes". Upon her immediate return to the clinic I escorted her to an exam room, had her lie on the exam bed with her head raised at 45 degrees. Her pulse ox was 98% on room air, BP 145/85, HR 97, RR 16. Her lungs were CTA without wheezing. She had no SOB, but stated her throat felt tight. She had trembling of her extremities but reported that she was not cold. I called for Dr. who was working in an adjacent clinic to asses patient as the morning MD''s had left for their afternoon assignments. Patient remained awake, alert oriented X3. Dr. assessed her and ordered Benadryl 25mg po. That was administered. Second set of vital signs were O2 sat if 97% on room air, BP 132/85 RR 16, HR 98. Approximately 15 minutes past receiving Benadryl patient reported that she felt better. She stated that her head felt better, she didnt feel as if her throat was tightening up, and her tremors were decreasing. Patient was observed until 4:00 pm until a family memeber came to pick her up. Periodic assessments showed a RR 12 - 16 and steady. No difficulty in breathing or wheezing. Patient slept throughout the afternoon. Upon her departure from the clinic patient stated that she felt "much better". Her trembling subsided.


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