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This is VAERS ID 282773

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.

Changed on 9/14/2017

VAERS ID: 282773 Before After
VAERS Form:(blank) 1
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 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.

Changed on 2/14/2018

VAERS ID: 282773 Before After
VAERS Form:1
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 / 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.

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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282773&WAYBACKHISTORY=ON


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