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This is VAERS ID 282217

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282217
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-07
Onset:2007-06-07
Submitted:2007-06-18
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Convulsion, Syncope

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

Write-up:Information has been received from a nurse practitioner concerning a 16 year old female who on 07-JUN-2007 was vaccinated with Gardasil. The nurse practitioner reported that the patient fainted 45 minutes after receiving Gardasil. The nurse practitioner a"lso reported that the /"mother thought she was having a seizure/". Medical attention was sought. The outcome of the adverse event is unknown. no further information was provided. Upon internal review seizure was considered to be an other important medical


Changed on 12/8/2009

VAERS ID: 282217 Before After
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-07
Onset:2007-06-07
Submitted:2007-06-18
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Convulsion, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': (blank) WAES0706USA02134

Write-up:Information has been received from a nurse practitioner concerning a 16 year old female who on 07-JUN-2007 was vaccinated with Gardasil. The nurse practitioner reported that the patient fainted 45 minutes after receiving Gardasil. The nurse practitioner a"lso also reported that the /"mother "mother thought she was having a seizure/". seizure". Medical attention was sought. The outcome of the adverse event is unknown. no further information was provided. Upon internal review seizure was considered to be an other important medical event. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282217&WAYBACKHISTORY=ON


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