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This is VAERS ID 283124

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283124
VAERS Form:
Age:13.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / -

Administered by: Public      Purchased by: Unknown
Symptoms: Cold sweat, Pallor

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: pallor and clamminess~HPV (Gardasil)~1~13~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': Over nutrition, high cholesterol, poor vision.

Write-up:After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.


Changed on 12/8/2009

283124 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / -

Administered by: Public      Purchased by: Unknown Public
Symptoms: Cold sweat, Pallor

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: pallor and clamminess~HPV (Gardasil)~1~13~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': Over nutrition, high cholesterol, poor vision. (blank)

Write-up:After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.


Changed on 5/14/2017

283124 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cold sweat, Pallor

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: pallor and clamminess~HPV (Gardasil)~1~13~In (Gardasil)~1~13.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.


Changed on 9/14/2017

283124 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Texas
Vaccinated:2007-06-18
Onset:2007-06-18
Submitted:2007-06-28
Entered:2007-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1208F / 1 2 - / -

Administered by: Public      Purchased by: Public
Symptoms: Cold sweat, Pallor

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: pallor and clamminess~HPV (Gardasil)~1~13.00~In Patient
Other Medications: None
Current Illness: None
Preexisting Conditions: Over nutrition, high cholesterol, poor vision.
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up:After 1st dose - 1 episode pallor and clamminess, After 2nd dose - 2 episodes pallor and clamminess symptoms self - resolved.


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