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This is VAERS ID 283733

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283733
VAERS Form:
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Syncope

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: Unknown
CDC 'Split Type': WAES0704USA04318

Write-up:Information has been received from a physician concerning a several female patients who were vaccinated with a dose of Gardasil. Subsequently, within ten minutes of vaccine, the patient experienced dizziness and syncope. Subsequently, they regained consciousness after fainting and were "fine". Unspecified medical attention was sought. Additional information has been requested.


Changed on 9/14/2017

283733 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Pennsylvania
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Syncope

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: Unknown
CDC 'Split Type': WAES0704USA04318

Write-up:Information has been received from a physician concerning a several female patients who were vaccinated with a dose of Gardasil. Subsequently, within ten minutes of vaccine, the patient experienced dizziness and syncope. Subsequently, they regained consciousness after fainting and were "fine". Unspecified medical attention was sought. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283733&WAYBACKHISTORY=ON


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