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This is VAERS ID 283959

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

283959
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
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. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Erythema, Hyperhidrosis, Hot flush, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02778

Write-up:Information has been received from a physician and a nurse concerning a 17 year old female who was vaccinated with Gardasil (lot number unknown). Right after administration of the vaccine, the patient experienced hot flashes, reddening of the face, dizziness and sweating on her head. The patient''s outcome was not reported. Additional information has been requested.


Changed on 9/14/2017

283959 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
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. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Erythema, Hyperhidrosis, Hot flush, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES0705USA02778

Write-up:Information has been received from a physician and a nurse concerning a 17 year old female who was vaccinated with Gardasil (lot number unknown). Right after administration of the vaccine, the patient experienced hot flashes, reddening of the face, dizziness and sweating on her head. The patient''s outcome was not reported. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=283959&WAYBACKHISTORY=ON


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