National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283730

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283730
VAERS Form:
Age:16.0
Gender:Female
Location:West Virginia
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0945F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Inappropriate schedule of drug administration, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03643

Write-up:Information has been received from a health professional concerning a 16 year old white female student (142 lbs., 61.25 in.) who on 19-FEB-2007 was vaccinated with Gardasil. The patient was vaccinated with the second dose of Gardasil on 19-MAR-2007, which was only one month post dose one. The patient had no illness on the day of vaccine administration. On 22-MAR-2007 the patient experienced symptoms of hives and feeling dizzy and sought unspecified medical attention. No laboratory/diagnostic tests were performed. Subsequently, the patient recovered from symptoms of hives and feeling dizzy. Additional information is expected.


Changed on 9/14/2017

283730 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:West Virginia
Vaccinated:2007-03-19
Onset:2007-03-19
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0945F / 1 2 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Dizziness, Inappropriate schedule of drug administration, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0703USA03643

Write-up:Information has been received from a health professional concerning a 16 year old white female student (142 lbs., 61.25 in.) who on 19-FEB-2007 was vaccinated with Gardasil. The patient was vaccinated with the second dose of Gardasil on 19-MAR-2007, which was only one month post dose one. The patient had no illness on the day of vaccine administration. On 22-MAR-2007 the patient experienced symptoms of hives and feeling dizzy and sought unspecified medical attention. No laboratory/diagnostic tests were performed. Subsequently, the patient recovered from symptoms of hives and feeling dizzy. Additional information is expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283730&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166