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History of Changes from the VAERS Wayback Machine |
First Appeared on 12/31/2007 |
VAERS ID: | 282773 |
VAERS Form: | |
Age: | 19.0 |
Gender: | Female |
Location: | Ohio |
Vaccinated: | 2007-06-19 |
Onset: | 2007-06-19 |
Submitted: | 2007-06-19 |
Entered: | 2007-06-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0389U / 0 | RA / UN |
Administered by: Unknown Purchased by: Unknown
Symptoms: Loss of consciousness, Muscle twitching, Musculoskeletal stiffness
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After administering vaccine, patient passed out. After being eased to floor body became stiff and head twitched slightly. Patient was given fluids by mouth and crackers. Patient sent home.
Vaccinated: | 2007-06-19 |
Onset: | 2007-06-19 |
Submitted: | 2007-06-19 |
Entered: | 2007-06-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0389U / 0 1 | RA / UN |
Administered by: Unknown Purchased by: Unknown
Symptoms: Loss of consciousness, Muscle twitching, Musculoskeletal stiffness
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After administering vaccine, patient passed out. After being eased to floor body became stiff and head twitched slightly. Patient was given fluids by mouth and crackers. Patient sent home.
Vaccinated: | 2007-06-19 |
Onset: | 2007-06-19 |
Submitted: | 2007-06-19 |
Entered: | 2007-06-25 |
Vaccination / Manufacturer | Lot / Dose | Site / Route |
HPV4: HPV (GARDASIL) / MERCK & CO. INC. | 0389U / 1 | RA / UN |
Administered by: Unknown Purchased by: Unknown
Symptoms: Loss of consciousness, Muscle twitching, Musculoskeletal stiffness
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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: After administering vaccine, patient passed out. After being eased to floor body became stiff and head twitched slightly. Patient was given fluids by mouth and crackers. Patient sent home.
Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282773&WAYBACKHISTORY=ON
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