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This is VAERS ID 283949

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283949
VAERS Form:
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested.


Changed on 2/5/2010

283949 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00 2006-12-11
Onset:0000-00-00 2006-12-11
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0637F / 1 UN / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Unknown; Reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


Changed on 7/31/2010

283949 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown; Reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


Changed on 6/14/2014

283949 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown; Reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


Changed on 5/14/2017

283949 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown; Reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


Changed on 9/14/2017

283949 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2006-12-11
Onset:2006-12-11
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0637F / 1 2 UN / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Nausea, Pallor, Stomach discomfort

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown; Reflex sympathetic dystrophy
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA02557

Write-up:Information has been received from a nurse concerning a "14 or 15" year old female who was vaccinated intramuscularly with a 0.5 mL second dose of Gardasil. Subsequently the patient experienced nausea, was white in the face, and sick to the stomach. The patient sought unspecified medical attention. Subsequently, the patient recovered. This is one of several reports from the same source. Additional information has been requested. This is in follow-up report(s) previously submitted on 6/14/2007; 7/6/2007. Information has been received from a nurse concerning a 13 year old female with a history of reactive sympathetic dystrophy, who on 11-DEC-2006 was vaccinated intramuscularly in the left deltoid with a 0.5 mL second dose of GARDASIL (lot# 653937/0637F). Subsequently the patient experienced sick "queasy" to the stomach, dizzy, and weak immediately following the dose. The patient sought unspecified medical attention. Subsequently, the patient recovered on 11-DEC-2006. The patient''s experience did not prevent her from receiving the third vaccination. Additional information has been requested.


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