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This is VAERS ID 283802

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283802
VAERS Form:
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-09
Onset:2007-05-09
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

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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01976

Write-up:Information has been received from a nurse concerning a female (age not reported) who on 09-MAY-2007 was vaccinated with a 0.5 mL dose of Gardasil (lot unavailable). Concomitant vaccination included unspecified "tetanus vaccine". On 09-MAY-2007 the patient "got dizzy after receiving Gardasil. The patient sought unspecified medical attention. On 09-MAY-2007, the patient recovered. There was no product quality complaint. Additional information has been requested.


Changed on 9/14/2017

283802 Before After
VAERS Form:(blank) 1
Age:
Gender:Female
Location:Unknown
Vaccinated:2007-05-09
Onset:2007-05-09
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

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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA01976

Write-up:Information has been received from a nurse concerning a female (age not reported) who on 09-MAY-2007 was vaccinated with a 0.5 mL dose of Gardasil (lot unavailable). Concomitant vaccination included unspecified "tetanus vaccine". On 09-MAY-2007 the patient "got dizzy after receiving Gardasil. The patient sought unspecified medical attention. On 09-MAY-2007, the patient recovered. There was no product quality complaint. Additional information has been requested.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283802&WAYBACKHISTORY=ON


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