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This is VAERS ID 283857

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 283857
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-29
Onset:2007-06-29
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524V / 0 RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720 / 0 LA / -

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

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

Write-up:Pt became pale, diaphoretic, after vaccine administered was given, sitting down, had not eaten all day BP 102/68 - 112/80 O2 98-100%.


Changed on 12/8/2009

VAERS ID: 283857 Before After
Age:15.0
Gender:Female
Location:Massachusetts
Vaccinated:2007-06-29
Onset:2007-06-29
Submitted:2007-07-02
Entered:2007-07-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0524V / 0 RA / -
TDAP: TDAP (ADACEL) / SANOFI PASTEUR C2720 / 0 LA / -

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

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

Write-up:Pt became pale, diaphoretic, after vaccine administered was given, sitting down, had not eaten all day BP 102/68 - 112/80 O2 98-100%.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283857&WAYBACKHISTORY=ON


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