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This is VAERS ID 283785

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283785
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01610

Write-up:Information has been received from a nurse concerning a 13 year old female who on 02-MAY-2007 was vaccinated with the first dose of Gardasil. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 283785 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other Private      Purchased by: Other Private
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01610

Write-up:Information has been received from a nurse concerning a 13 year old female who on 02-MAY-2007 was vaccinated with the first dose of Gardasil. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. Additional information has been requested. 07/08/2008 Initial and follow up information has been received from a nurse concerning a 13 year old female student who on 02-MAY-2007 was vaccinated with the first dose of GARDASIL. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. In follow up information from the doctor''s office it was reported that patient felt very faint on 03-MAY-2008 (previously reported as patient passed out on 02-MAY-2008). She recovered on the same day. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 283785 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01610

Write-up:Information has been received from a nurse concerning a 13 year old female who on 02-MAY-2007 was vaccinated with the first dose of Gardasil. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. Additional information has been requested. 07/08/2008 Initial and follow up information has been received from a nurse concerning a 13 year old female student who on 02-MAY-2007 was vaccinated with the first dose of GARDASIL. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. In follow up information from the doctor''s office it was reported that patient felt very faint on 03-MAY-2008 (previously reported as patient passed out on 02-MAY-2008). She recovered on the same day. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 283785 Before After
Age:13.0
Gender:Female
Location:California
Vaccinated:2007-05-02
Onset:2007-05-02
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Private      Purchased by: Private
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01610

Write-up:Information has been received from a nurse concerning a 13 year old female who on 02-MAY-2007 was vaccinated with the first dose of Gardasil. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. Additional information has been requested. 07/08/2008 Initial and follow up information has been received from a nurse concerning a 13 year old female student who on 02-MAY-2007 was vaccinated with the first dose of GARDASIL. Ten minutes after receiving the vaccination, the patient passed out. Subsequently, the patient recovered on 02-MAY-2007 and was noted to be fine. In follow up information from the doctor''s office it was reported that patient felt very faint on 03-MAY-2008 (previously reported as patient passed out on 02-MAY-2008). She recovered on the same day. Additional information is not expected.


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