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This is VAERS ID 283126

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283126
VAERS Form:
Age:11.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Skin discolouration

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

Write-up:Within minutes of receiving Gardasil vaccine turned green and became lightheaded. After laying down for 20 minutes sat up and became nauseous. Patient able to leave after being observed for 45 minutes - 1 hour.


Changed on 12/8/2009

283126 Before After
VAERS Form:
Age:11.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Nausea, Skin discolouration

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

Write-up:Within minutes of receiving Gardasil vaccine turned green and became lightheaded. After laying down for 20 minutes sat up and became nauseous. Patient able to leave after being observed for 45 minutes - 1 hour.


Changed on 9/14/2017

283126 Before After
VAERS Form:(blank) 1
Age:11.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-22
Onset:2007-06-22
Submitted:2007-06-28
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524U / 0 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Nausea, Skin discolouration

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

Write-up:Within minutes of receiving Gardasil vaccine turned green and became lightheaded. After laying down for 20 minutes sat up and became nauseous. Patient able to leave after being observed for 45 minutes - 1 hour.


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