National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 283850

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

283850
VAERS Form:
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-26
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2139AA / - RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0364U / - LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Deafness, Dizziness, Hyperhidrosis, Pallor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:After administering the HPV vaccine, the patient lost her hearing, became dizzy and broke out in a sweat, pale. I had to wait to give the rest of the vaccines. Patient laid down on exam table - drank some water and had cool cloth to the head. After 10 min"- she was ok.


Changed on 12/8/2009

283850 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-26
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2139AA / - RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0364U / - LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Deafness, Dizziness, Hyperhidrosis, Pallor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:After administering the HPV vaccine, the patient lost her hearing, became dizzy and broke out in a sweat, pale. I had to wait to give the rest of the vaccines. Patient laid down on exam table - drank some water and had cool cloth to the head. After 10 min"- min - she was ok.


Changed on 4/7/2010

283850 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-26
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2139AA / - RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / - RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0364U / - LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Deafness, Dizziness, Hyperhidrosis, Pallor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:After administering the HPV vaccine, the patient lost her hearing, became dizzy and broke out in a sweat, pale. I had to wait to give the rest of the vaccines. Patient laid down on exam table - drank some water and had cool cloth to the head. After 10 min - she was ok.


Changed on 9/14/2017

283850 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Michigan
Vaccinated:2007-06-25
Onset:2007-06-25
Submitted:2007-06-26
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0962F / - UNK LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2139AA / - UNK RA / IM
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2492BA / - UNK RA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0364U / - UNK LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Deafness, Dizziness, Hyperhidrosis, Pallor

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:After administering the HPV vaccine, the patient lost her hearing, became dizzy and broke out in a sweat, pale. I had to wait to give the rest of the vaccines. Patient laid down on exam table - drank some water and had cool cloth to the head. After 10 min - she was ok.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283850&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166