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This is VAERS ID 282735

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282735
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Hypotension, Malaise, Pallor, Syncope, Musculoskeletal stiffness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil. Three minutes after the vaccine was given she said: /"I don''''t feel good/" Then she went pale, stiff, fainted. She didn''''t recall what happened. She came back after 5 minutes. Her BP was low, 60/40 and received epi 0.3 mg.


Changed on 12/8/2009

VAERS ID: 282735 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM

Administered by: Private Unknown      Purchased by: Unknown
Symptoms: Hypotension, Malaise, Pallor, Syncope, Musculoskeletal stiffness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil. Three minutes after the vaccine was given she said: /"I don''''t "I don''t feel good/" good" Then she went pale, stiff, fainted. She didn''''t didn''t recall what happened. She came back after 5 minutes. Her BP was low, 60/40 and received epi 0.3 mg.


Changed on 4/7/2010

VAERS ID: 282735 Before After
Age:18.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-21
Onset:2007-06-21
Submitted:2007-06-23
Entered:2007-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2183AA / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Hypotension, Malaise, Pallor, Syncope, Musculoskeletal stiffness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient received Gardasil. Three minutes after the vaccine was given she said: "I don''t feel good" Then she went pale, stiff, fainted. She didn''t recall what happened. She came back after 5 minutes. Her BP was low, 60/40 and received epi 0.3 mg.


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