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This is VAERS ID 282611

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282611
VAERS Form:
Age:14.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-21
Entered:2007-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Convulsion, Head injury, Loss of consciousness, Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT head negative
CDC 'Split Type':

Write-up:Syncope head injury with loss of consciousness , questionable SZ, vomiting.


Changed on 12/8/2009

282611 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-21
Entered:2007-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Convulsion, Head injury, Loss of consciousness, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT head negative
CDC 'Split Type':

Write-up:Syncope head injury with loss of consciousness , questionable SZ, vomiting.


Changed on 9/14/2017

282611 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Connecticut
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-21
Entered:2007-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 1 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Computerised tomogram normal, Convulsion, Head injury, Loss of consciousness, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CT head negative
CDC 'Split Type':

Write-up:Syncope head injury with loss of consciousness , questionable SZ, vomiting.


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