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This is VAERS ID 284137

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284137
Age:14.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-09
Onset:2007-05-09
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

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:
CDC 'Split Type': WAES0705USA03181

Write-up:Information has been received from a physician concerning a 14 year old female who on 09-MAY-2007 was vaccinated with the first dose of Gardasil. Concomitant medication was not reported. On 09-MAY-2007 after the patient received her first dose of Gardasil, she "passed out". Subsequently on an unspecified date, the patient recovered from "passed out". Additional information has been requested.


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