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This is VAERS ID 283107

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283107
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB110AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Fatigue, Flushing, Hyperhidrosis, Nausea, Paraesthesia

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

Write-up:child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM. Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, /"Couldn''''t see/", nausea and emesis x1. Symptoms resolved within < 5 minutes and"left office feeling /"perfectly fine/" No treatment necessary. Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.


Changed on 12/8/2009

VAERS ID: 283107 Before After
Age:12.0
Gender:Female
Location:Maryland
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (HAVRIX) / GLAXOSMITHKLINE BIOLOGICALS AHAVB110AA / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / 0 LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Fatigue, Flushing, Hyperhidrosis, Nausea, Paraesthesia, Visual acuity reduced, Vomiting

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

Write-up:child received Havrix Im in left deltoid, and then was given Gardasil .5ml IM. Immediately after Gardasil, pt experienced arm tingling, followed by flushing, diaphoresis, /"Couldn''''t see/", "Couldn''t see", nausea and emesis x1. Symptoms resolved within < 5 minutes and"left and left office feeling /"perfectly fine/" "perfectly fine" No treatment necessary. Felt tired the following day but otherwise no residual symptoms, nor any vaccine site localized rash/swelling.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283107&WAYBACKHISTORY=ON


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