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This is VAERS ID 283844

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283844
VAERS Form:
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-06-28
Onset:2007-06-28
Submitted:2007-06-28
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Pallor, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up:Pt was noted to be pale, pt fainted. Brought in room in lay. BP checked, Pulse checked. MD notified and checked Pt after resting BP elevated to normal. Pt released with mother to drive.


Changed on 12/8/2009

283844 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-06-28
Onset:2007-06-28
Submitted:2007-06-28
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - LA / IM

Administered by: Private      Purchased by: Unknown Public
Symptoms: Pallor, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up:Pt was noted to be pale, pt fainted. Brought in room in lay. BP checked, Pulse checked. MD notified and checked Pt after resting BP elevated to normal. Pt released with mother to drive.


Changed on 9/14/2017

283844 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:New Hampshire
Vaccinated:2007-06-28
Onset:2007-06-28
Submitted:2007-06-28
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0522U / - UNK LA / IM

Administered by: Private      Purchased by: Public
Symptoms: Pallor, 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)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Vitals
CDC 'Split Type':

Write-up:Pt was noted to be pale, pt fainted. Brought in room in lay. BP checked, Pulse checked. MD notified and checked Pt after resting BP elevated to normal. Pt released with mother to drive.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283844&WAYBACKHISTORY=ON


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