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This is VAERS ID 282913

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282913
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-26
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Blood glucose increased, Dizziness, Feeling abnormal, Hyperglycaemia, Lethargy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory 06/15/07 - not diabetic, fasting blood glucose 06/15/07 176
CDC 'Split Type':

Write-up:Information has been received from a physician concerning a 14 year old female, with no pertinent medical history, who on 14-JUN-2007 was vaccinated IM, with a first dose of Gardasil (lot # /"02630/"). There was no concomitant medication. Approximately, o"n 14-JUN-2007 it was reported the patient was /"light-headed/", /"out of it/", and lethargic. On 15-JUN-2007 the patient had to be carried into the physicians office. Her sugar level was at 176 (hyperglycemic). She was tested for diabetes but it came back


Changed on 12/8/2009

282913 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-26
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blood glucose increased, Dizziness, Feeling abnormal, Hyperglycaemia, Lethargy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory 06/15/07 - not diabetic, fasting blood glucose 06/15/07 176
CDC 'Split Type': (blank) WAES0706USA03415

Write-up:Information has been received from a physician concerning a 14 year old female, with no pertinent medical history, who on 14-JUN-2007 was vaccinated IM, with a first dose of Gardasil (lot # /"02630/"). "02630"). There was no concomitant medication. Approximately, o"n on 14-JUN-2007 it was reported the patient was /"light-headed/", /"out "light-headed", "out of it/", it", and lethargic. On 15-JUN-2007 the patient had to be carried into the physicians office. Her sugar level was at 176 (hyperglycemic). She was tested for diabetes but it came back "negative". It was reported that by 16-JUN-2007 the patient "was feeling much better." The physician considered "light-headed", "out of it", lethargic, and a sugar level at 176 to be disabling. Additional information has been requested.


Changed on 9/14/2017

282913 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Illinois
Vaccinated:2007-06-14
Onset:2007-06-14
Submitted:2007-06-26
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 - / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood glucose increased, Dizziness, Feeling abnormal, Hyperglycaemia, Lethargy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: diagnostic laboratory 06/15/07 - not diabetic, fasting blood glucose 06/15/07 176
CDC 'Split Type': WAES0706USA03415

Write-up:Information has been received from a physician concerning a 14 year old female, with no pertinent medical history, who on 14-JUN-2007 was vaccinated IM, with a first dose of Gardasil (lot # "02630"). There was no concomitant medication. Approximately, on 14-JUN-2007 it was reported the patient was "light-headed", "out of it", and lethargic. On 15-JUN-2007 the patient had to be carried into the physicians office. Her sugar level was at 176 (hyperglycemic). She was tested for diabetes but it came back "negative". It was reported that by 16-JUN-2007 the patient "was feeling much better." The physician considered "light-headed", "out of it", lethargic, and a sugar level at 176 to be disabling. Additional information has been requested.


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