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This is VAERS ID 283124

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283124
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? 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.
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

VAERS ID: 283124 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? 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.
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

VAERS ID: 283124 Before After
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
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? 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.
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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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283124&WAYBACKHISTORY=ON


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