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This is VAERS ID 282772

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282772
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-19
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2004AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Dizziness, Fall, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol PRN, Zyrtec PRN
Current Illness: NONE
Preexisting Conditions: Environmental allergies
Diagnostic Lab Data: Patient also received Menactra vaccine same day 7/11/07-spoke with reporter''''s office-patient became dizzy, fell in parking lot-returned to office BP 98/56. Appeared to be vasovagal reaction to immunization. Observed and recovered.
CDC 'Split Type':

Write-up:None stated


Changed on 12/8/2009

VAERS ID: 282772 Before After
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-19
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2004AA / 0 RA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure decreased, Dizziness, Fall, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol PRN, Zyrtec PRN
Current Illness: NONE
Preexisting Conditions: Environmental allergies
Diagnostic Lab Data: Patient also received Menactra vaccine same day 7/11/07-spoke with reporter''''s reporter''s office-patient became dizzy, fell in parking lot-returned to office BP 98/56. Appeared to be vasovagal reaction to immunization. Observed and recovered.
CDC 'Split Type':

Write-up:None stated


Changed on 4/7/2010

VAERS ID: 282772 Before After
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-19
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2004AA / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure decreased, Dizziness, Fall, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol PRN, Zyrtec PRN
Current Illness: NONE
Preexisting Conditions: Environmental allergies
Diagnostic Lab Data: Patient also received Menactra vaccine same day 7/11/07-spoke with reporter''s office-patient became dizzy, fell in parking lot-returned to office BP 98/56. Appeared to be vasovagal reaction to immunization. Observed and recovered.
CDC 'Split Type':

Write-up:None stated


Changed on 2/14/2017

VAERS ID: 282772 Before After
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-12
Onset:2007-06-12
Submitted:2007-06-19
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 0 RA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2004AA / 0 RA / UN

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure decreased, Dizziness, Fall, Syncope vasovagal

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Albuterol PRN, Zyrtec PRN
Current Illness: NONE
Preexisting Conditions: Environmental allergies
Diagnostic Lab Data: Patient also received Menactra vaccine same day 7/11/07-spoke with reporter''s office-patient became dizzy, fell in parking lot-returned to office BP 98/56. Appeared to be vasovagal reaction to immunization. Observed and recovered.
CDC 'Split Type':

Write-up:None stated


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282772&WAYBACKHISTORY=ON


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