National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 282953

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282953
VAERS Form:
Age:10.0
Gender:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Pallor, 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: None
Preexisting Conditions: Hx of seizure disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Few minutes after inj with Gardasil pt''''s mother reported that pt feels dizzy, looks pale and had stiffening of UE and LE. NO L.O.C, no seizures, Pt was observed 20 minutes and discharged in good condition.


Changed on 12/8/2009

282953 Before After
VAERS Form:
Age:10.0
Gender:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Pallor, 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: None
Preexisting Conditions: Hx of seizure disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Few minutes after inj with Gardasil pt''''s pt''s mother reported that pt feels dizzy, looks pale and had stiffening of UE and LE. NO L.O.C, no seizures, Pt was observed 20 minutes and discharged in good condition.


Changed on 9/14/2017

282953 Before After
VAERS Form:(blank) 1
Age:10.0
Gender:Unknown
Location:Illinois
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0012U / - UNK - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Pallor, 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: None
Preexisting Conditions: Hx of seizure disorder
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:Few minutes after inj with Gardasil pt''s mother reported that pt feels dizzy, looks pale and had stiffening of UE and LE. NO L.O.C, no seizures, Pt was observed 20 minutes and discharged in good condition.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282953&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166