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This is VAERS ID 282964

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 282964
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05220 / 0 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR C2720AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: on Ortho-tri-cyclen 1 tab PO QD
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncopal episode approx 5 min after administration


Changed on 12/8/2009

VAERS ID: 282964 Before After
Age:18.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-19
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 05220 / 0 LA / IM
TD: TD ADSORBED (NO BRAND NAME) / SANOFI PASTEUR C2720AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: on Ortho-tri-cyclen 1 tab PO QD
Current Illness: None
Preexisting Conditions: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Syncopal episode approx 5 min after administration


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282964&WAYBACKHISTORY=ON


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