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This is VAERS ID 283845

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283845
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:2007-06-29
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524C / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2734AA / 5 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Clonus, Dizziness, Electrocardiogram normal, Full blood count, Head injury

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Albuterol
Current Illness:
Preexisting Conditions: Stable exercise induced asthma, Allergic garamycin
Diagnostic Lab Data: CBC WNL, EKG WNL, D-Dimer <.22 WNL
CDC 'Split Type':

Write-up:Within a couple minutes of admin, she verbalized she felt faint, slumped and hit head against exam table mirror, became pale, clonic arm movements x 4 per mom. Administered O2, elevated feet gave water, pretzels. Hypotensive in ER where she was sent with"1 hour in office.


Changed on 12/8/2009

VAERS ID: 283845 Before After
Age:16.0
Gender:Female
Location:Colorado
Vaccinated:2007-06-27
Onset:2007-06-27
Submitted:2007-06-29
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEPA: HEP A (VAQTA) / MERCK & CO. INC. 0442U / 0 LA / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524C / 0 RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2734AA / 5 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Clonus, Dizziness, Electrocardiogram normal, Full blood count, Head injury, Hypotension, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Singulair, Albuterol
Current Illness:
Preexisting Conditions: Stable exercise induced asthma, Allergic garamycin
Diagnostic Lab Data: CBC WNL, EKG WNL, D-Dimer <.22 WNL
CDC 'Split Type':

Write-up:Within a couple minutes of admin, she verbalized she felt faint, slumped and hit head against exam table mirror, became pale, clonic arm movements x 4 per mom. Administered O2, elevated feet gave water, pretzels. Hypotensive in ER where she was sent with"1 with 1 hour in office.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283845&WAYBACKHISTORY=ON


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