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This is VAERS ID 281958

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 281958
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-06-15
Onset:2007-06-15
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Fall, Syncope

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

Write-up:Patient Recieved HPV vaccine in LA. Walked out of the clinic and building, tripped and fainted. Mom sent younger sister in to get me. We got a wheel chair and brought her back into the clinic, on the way in she fainted again. Got her on to the bed and too"k BP 106/57. After 5 min sat her up and retook BP 105/54. Got her to the wheel chair and gave her a drink of water and took her to the ER. Gave report to the ER nurse.


Changed on 12/8/2009

VAERS ID: 281958 Before After
Age:11.0
Gender:Female
Location:Texas
Vaccinated:2007-06-15
Onset:2007-06-15
Submitted:2007-06-15
Entered:2007-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Fall, Syncope

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

Write-up:Patient Recieved HPV vaccine in LA. Walked out of the clinic and building, tripped and fainted. Mom sent younger sister in to get me. We got a wheel chair and brought her back into the clinic, on the way in she fainted again. Got her on to the bed and too"k took BP 106/57. After 5 min sat her up and retook BP 105/54. Got her to the wheel chair and gave her a drink of water and took her to the ER. Gave report to the ER nurse.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=281958&WAYBACKHISTORY=ON


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