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This is VAERS ID 283274

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283274
VAERS Form:
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-25
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Pallor, Presyncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient near syncope, felt faint, upset, pale in color.


Changed on 12/8/2009

283274 Before After
VAERS Form:
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-25
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Pallor, Presyncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient near syncope, felt faint, upset, pale in color.


Changed on 9/14/2017

283274 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-25
Entered:2007-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / 0 1 - / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Pallor, Presyncope

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Patient near syncope, felt faint, upset, pale in color.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283274&WAYBACKHISTORY=ON


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