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This is VAERS ID 282724

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282724
VAERS Form:
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-22
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Echocardiogram, Electroencephalogram, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: EEG and echocardiogram have been ordered-patient has not had completed yet.
CDC 'Split Type':

Write-up:syncopal episode immediately after injection. patient quickly recovered and felt fine after about 15 seconds. no nausea, vomiting.


Changed on 12/8/2009

282724 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-22
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Echocardiogram, Electroencephalogram, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: EEG and echocardiogram have been ordered-patient has not had completed yet.
CDC 'Split Type':

Write-up:syncopal episode immediately after injection. patient quickly recovered and felt fine after about 15 seconds. no nausea, vomiting.


Changed on 9/14/2017

282724 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-22
Entered:2007-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Echocardiogram, Electroencephalogram, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amoxicillin
Allergies:
Diagnostic Lab Data: EEG and echocardiogram have been ordered-patient has not had completed yet.
CDC 'Split Type':

Write-up:syncopal episode immediately after injection. patient quickly recovered and felt fine after about 15 seconds. no nausea, vomiting.


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