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This is VAERS ID 284134

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284134
Age:20.0
Gender:Female
Location:New Jersey
Vaccinated:2007-03-20
Onset:2007-03-23
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA03171

Write-up:Information has been received from a physician concerning a 20 year old female patient who on 20-MAR-2007 was vaccinated with her first dose of Gardasil. Three days after the vaccination the patient passed out and was taken to the ER. It was not known if she was admitted to the hospital. Subsequently, the patient recovered. Additional information has been requested.


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