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This is VAERS ID 282776

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282776
VAERS Form:
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-15
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Presyncope

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had near syncopal episode. Pt became pale, diaphoretic, dizzy, nauseous.


Changed on 9/14/2017

282776 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:California
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-15
Entered:2007-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 2 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor, Presyncope

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: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt had near syncopal episode. Pt became pale, diaphoretic, dizzy, nauseous.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282776&WAYBACKHISTORY=ON


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