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This is VAERS ID 283930

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 283930
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure 04/23/07 130/70
CDC 'Split Type': WAES0705USA02126

Write-up:Information has been received from a registered nurse concerning a 24 year old white female teacher (weight 133#, height 62") who on 23-APR-2007 was vaccinated with the first dose of Gardasil (lot #657617/0384U), IM in the deltoid. Concomitant medication was not reported. On 23-APR-2007 approximately 5 minutes after vaccine was administered, the patient fainted. The patient was treated with a cold pack to her head and she was instructed to lie down. The patient''s blood pressure was 130/70. Subsequently that same day, the patient recovered from fainting and left the physicians office unassisted. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 283930 Before After
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 UN AR / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure 04/23/07 130/70 130/70.
CDC 'Split Type': WAES0705USA02126

Write-up:This is in follow-up to report (s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 24 year old white female teacher (weight 133#, height 62") who on 23-APR-2007 was vaccinated with the first dose (also reported as the second dose) of Gardasil GARDASIL (lot #657617/0384U), IM in the deltoid. Concomitant medication was not reported. On 23-APR-2007 approximately 5 minutes after vaccine was administered, the patient fainted. The patient was treated with a cold pack to her head and she was instructed to lie down. The patient''s blood pressure was 130/70. Subsequently that same day, the patient recovered from fainting and left the physicians office unassisted. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 283930 Before After
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 AR / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure 04/23/07 130/70.
CDC 'Split Type': WAES0705USA02126

Write-up:This is in follow-up to report (s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 24 year old female teacher (weight 133#, height 62") who on 23-APR-2007 was vaccinated with the first dose (also reported as the second dose) of GARDASIL (lot #657617/0384U), IM in the deltoid. Concomitant medication was not reported. On 23-APR-2007 approximately 5 minutes after vaccine was administered, the patient fainted. The patient was treated with a cold pack to her head and she was instructed to lie down. The patient''s blood pressure was 130/70. Subsequently that same day, the patient recovered from fainting and left the physicians office unassisted. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 283930 Before After
Age:24.0
Gender:Female
Location:New Jersey
Vaccinated:2007-04-23
Onset:2007-04-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0384U / 0 AR / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Blood pressure 04/23/07 130/70.
CDC 'Split Type': WAES0705USA02126

Write-up:This is in follow-up to report (s) previously submitted on 6/14/2007. Information has been received from a registered nurse concerning a 24 year old female teacher (weight 133#, height 62") who on 23-APR-2007 was vaccinated with the first dose (also reported as the second dose) of GARDASIL (lot #657617/0384U), IM in the deltoid. Concomitant medication was not reported. On 23-APR-2007 approximately 5 minutes after vaccine was administered, the patient fainted. The patient was treated with a cold pack to her head and she was instructed to lie down. The patient''s blood pressure was 130/70. Subsequently that same day, the patient recovered from fainting and left the physicians office unassisted. Additional information has been requested.


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