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This is VAERS ID 282975

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

282975
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-20
Onset:2007-06-20
Submitted:2007-06-21
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Public      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Client fainted after receiving HPV4 vaccine. Fl up done by RN and staff. Client recovered after 15/"-20/".


Changed on 12/8/2009

282975 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-20
Onset:2007-06-20
Submitted:2007-06-21
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Public      Purchased by: Unknown Public
Symptoms: Syncope

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

Write-up:Client fainted after receiving HPV4 vaccine. Fl up done by RN and staff. Client recovered after 15/"-20/". 15"-20".


Changed on 9/14/2017

282975 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-20
Onset:2007-06-20
Submitted:2007-06-21
Entered:2007-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 1 LA / IM

Administered by: Public      Purchased by: Public
Symptoms: Syncope

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

Write-up:Client fainted after receiving HPV4 vaccine. Fl up done by RN and staff. Client recovered after 15"-20".


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=282975&WAYBACKHISTORY=ON


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