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This is VAERS ID 282284

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282284
VAERS Form:
Age:7.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dyskinesia, Feeling abnormal, Pallor, Syncope, Tinnitus

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: Exema
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient recieved the MCV4 in the L deltoid and HPV in the R deltoid. When the patient got up from the table the color drained from her face and she asked if she should /"feel funny?/" Here ears began ringing and everything went black. She fainted to the f"loor and her legs were fluttering from her legs being bent. Here legs were down. The adminstering nurse helped her to the floor and put her arms around the patient. The episode lasted no more than a minute to a minute to a minute and a half.


Changed on 12/8/2009

282284 Before After
VAERS Form:
Age:7.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Dyskinesia, Feeling abnormal, Pallor, Syncope, Tinnitus

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: Exema
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient recieved the MCV4 in the L deltoid and HPV in the R deltoid. When the patient got up from the table the color drained from her face and she asked if she should /"feel funny?/" "feel funny?" Here ears began ringing and everything went black. She fainted to the f"loor floor and her legs were fluttering from her legs being bent. Here legs were down. The adminstering nurse helped her to the floor and put her arms around the patient. The episode lasted no more than a minute to a minute to a minute and a half.


Changed on 4/7/2010

282284 Before After
VAERS Form:
Age:7.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Dyskinesia, Feeling abnormal, Pallor, Syncope, Tinnitus

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: Exema
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient recieved the MCV4 in the L deltoid and HPV in the R deltoid. When the patient got up from the table the color drained from her face and she asked if she should "feel funny?" Here ears began ringing and everything went black. She fainted to the floor and her legs were fluttering from her legs being bent. Here legs were down. The adminstering nurse helped her to the floor and put her arms around the patient. The episode lasted no more than a minute to a minute to a minute and a half.


Changed on 9/14/2017

282284 Before After
VAERS Form:(blank) 1
Age:7.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / 0 1 LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Dyskinesia, Feeling abnormal, Pallor, Syncope, Tinnitus

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: Exema
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient recieved the MCV4 in the L deltoid and HPV in the R deltoid. When the patient got up from the table the color drained from her face and she asked if she should "feel funny?" Here ears began ringing and everything went black. She fainted to the floor and her legs were fluttering from her legs being bent. Here legs were down. The adminstering nurse helped her to the floor and put her arms around the patient. The episode lasted no more than a minute to a minute to a minute and a half.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282284&WAYBACKHISTORY=ON


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