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This is VAERS ID 282867

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282867
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-19
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Fall, Head injury, Loss of consciousness

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

Write-up:Shortly after receiving Gardasil, pt blacked out and fell off exam table where she had been sitting. Her forehead struck the exam table stirrup, breaking it off, her left thigh scrapped against broken metal from stirrup and pt landed on the floor, where w"as found the the nurse


Changed on 12/8/2009

VAERS ID: 282867 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-19
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Fall, Head injury, Loss of consciousness

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

Write-up:Shortly after receiving Gardasil, pt blacked out and fell off exam table where she had been sitting. Her forehead struck the exam table stirrup, breaking it off, her left thigh scrapped against broken metal from stirrup and pt landed on the floor, where w"as was found the the nurse


Changed on 1/5/2010

VAERS ID: 282867 Before After
Age:18.0
Gender:Female
Location:Unknown
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-19
Entered:2007-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Fall, Head injury, Loss of consciousness

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

Write-up:Shortly after receiving Gardasil, pt blacked out and fell off exam table where she had been sitting. Her forehead struck the exam table stirrup, breaking it off, her left thigh scrapped against broken metal from stirrup and pt landed on the floor, where was found the the nurse


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282867&WAYBACKHISTORY=ON


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