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This is VAERS ID 282242

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282242
VAERS Form:
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-06-05
Onset:2007-06-05
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB162CB / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient fainted after 2-3 min. Vitals were normal. After observation for 15 min patient was able to walk on own and left office in care of her mom. No seizure activity. LOC was brief secs. Exam on departure were normal


Changed on 12/8/2009

282242 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-06-05
Onset:2007-06-05
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB162CB / 0 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 LA / -

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient fainted after 2-3 min. Vitals were normal. After observation for 15 min patient was able to walk on own and left office in care of her mom. No seizure activity. LOC was brief perhaps <10 secs. Exam on departure were normal


Changed on 9/14/2017

282242 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:California
Vaccinated:2007-06-05
Onset:2007-06-05
Submitted:2007-06-12
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB162CB / 0 1 RA / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0181U / 0 1 LA / -

Administered by: Private      Purchased by: Public
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient fainted after 2-3 min. Vitals were normal. After observation for 15 min patient was able to walk on own and left office in care of her mom. No seizure activity. LOC was brief perhaps <10 secs. Exam on departure were normal


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282242&WAYBACKHISTORY=ON


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