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This is VAERS ID 282251

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282251
VAERS Form:
Age:18.0
Gender:Female
Location:Kentucky
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood glucose increased, Blood pressure decreased, Hyperhidrosis, Nausea, Immediate post-injection reaction

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: Zyrtec, Depo Provera
Current Illness: none
Preexisting Conditions: none known/environmental allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt in to get Gardasil and Depo hot. Pt given Depo 1st, then Gardasil. Immediately after Gardasil pt became nauseated, dry heaving, syncopal, BP dropped to 60 could not hear bottom number, HR 60, pale, diaphoretic. Pt aroused somewhat with ammonia. Blood s"ugar 107. Pt did state she had not eaten this morning. Pt taken to in house ER where she was given a liter of LR, B/P increased pt improved and was discharged home.


Changed on 12/8/2009

282251 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Kentucky
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood glucose increased, Blood pressure decreased, Hyperhidrosis, Nausea, Pallor, Retching, Syncope, Immediate post-injection reaction

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: Zyrtec, Depo Provera
Current Illness: none
Preexisting Conditions: none known/environmental allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt in to get Gardasil and Depo hot. Pt given Depo 1st, then Gardasil. Immediately after Gardasil pt became nauseated, dry heaving, syncopal, BP dropped to 60 could not hear bottom number, HR 60, pale, diaphoretic. Pt aroused somewhat with ammonia. Blood s"ugar sugar 107. Pt did state she had not eaten this morning. Pt taken to in house ER where she was given a liter of LR, B/P increased pt improved and was discharged home.


Changed on 9/14/2017

282251 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Kentucky
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-13
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood glucose increased, Blood pressure decreased, Hyperhidrosis, Nausea, Pallor, Retching, Syncope, Immediate post-injection reaction

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: Zyrtec, Depo Provera
Current Illness: none
Preexisting Conditions: none known/environmental allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt in to get Gardasil and Depo hot. Pt given Depo 1st, then Gardasil. Immediately after Gardasil pt became nauseated, dry heaving, syncopal, BP dropped to 60 could not hear bottom number, HR 60, pale, diaphoretic. Pt aroused somewhat with ammonia. Blood sugar 107. Pt did state she had not eaten this morning. Pt taken to in house ER where she was given a liter of LR, B/P increased pt improved and was discharged home.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282251&WAYBACKHISTORY=ON


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