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This is VAERS ID 281699

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281699
Age:
Gender:Female
Location:Arizona
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB149AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Military      Purchased by: Unknown
Symptoms: Cold sweat, Convulsion, Hypotonia, Loss of consciousness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was given two shots and immediately after administered patient became pale, limp and clammy. Patient passed out and began to have seizure activity for a few seconds. Pt regained consciousness and her vital signs were taken and were within normal range.


Changed on 12/8/2009

VAERS ID: 281699 Before After
Age:
Gender:Female
Location:Arizona
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-14
Entered:2007-06-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB149AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0011U / 0 RA / IM

Administered by: Military      Purchased by: Unknown Military
Symptoms: Cold sweat, Convulsion, Hypotonia, Loss of consciousness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: NONE
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt was given two shots and immediately after administered patient became pale, limp and clammy. Patient passed out and began to have seizure activity for a few seconds. Pt regained consciousness and her vital signs were taken and were within normal range.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281699&WAYBACKHISTORY=ON


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