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This is VAERS ID 284145

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284145
Age:14.0
Gender:Female
Location:New York
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 / UN

Administered by: Other      Purchased by: Other
Symptoms: Loss of consciousness, Muscle twitching, Paraesthesia

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: None
CDC 'Split Type': WAES0705USA03385

Write-up:Information has been received from a physician concerning a 14 year old female who was vaccinated with a second dose of Gardasil. Subsequently the patient experienced tingling in her nose, passed out and little twitching. Unspecified medical attention was sought. It was reported that the patient recovered 2 minutes after the vaccine was administered. There were no diagnostic or laboratory tests performed. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284145 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:0000-00-00 2007-05-01
Onset:0000-00-00 2007-05-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0387U / 1 UN / UN

Administered by: Other Private      Purchased by: Other
Symptoms: Loss of consciousness, Muscle twitching, Paraesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Reaction to sulphite; Milk allergy; Sulfonamide; Drug hypersensitivity; Polycystic ovarian syndrome
Preexisting Conditions: Unknown
Diagnostic Lab Data: None Total heartbeat count, 05/01/2007, 46; Total heartbeat count, 05/01/07, 68.
CDC 'Split Type': WAES0705USA03385

Write-up:Information has been received from a physician concerning a 14 year old female who was vaccinated with a second dose of Gardasil. Subsequently the patient experienced tingling in her nose, passed out and little twitching. Unspecified medical attention was sought. It was reported that the patient recovered 2 minutes after the vaccine was administered. There were no diagnostic or laboratory tests performed. Additional information has been requested. This is in follow-up to reports previously submitted on 6/14/2007. Initial and follow-up information has been received from a physician concerning a 14 year old female stundent with reaction to sulphite, milk allergy, sulfonamide allergy, drug hypersensitivity to CECLOR and polycystic ovarin syndrome who on 01-MAY-2007 was vaccinated, into left arm, with a second dose og GARDASIL. On 01-MAY-2007, within 1 minute, the patient recovered from all symptoms and her heart rate was 68. There were no diagnostic or laboratory test performed. No further information is available.


Changed on 6/14/2014

VAERS ID: 284145 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-05-01
Onset:2007-05-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Loss of consciousness, Muscle twitching, Paraesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Reaction to sulphite; Milk allergy; Sulfonamide; Drug hypersensitivity; Polycystic ovarian syndrome
Preexisting Conditions: Unknown
Diagnostic Lab Data: Total heartbeat count, 05/01/2007, 46; Total heartbeat count, 05/01/07, 68.
CDC 'Split Type': WAES0705USA03385

Write-up:Information has been received from a physician concerning a 14 year old female who was vaccinated with a second dose of Gardasil. Subsequently the patient experienced tingling in her nose, passed out and little twitching. Unspecified medical attention was sought. It was reported that the patient recovered 2 minutes after the vaccine was administered. There were no diagnostic or laboratory tests performed. Additional information has been requested. This is in follow-up to reports previously submitted on 6/14/2007. Initial and follow-up information has been received from a physician concerning a 14 year old female stundent with reaction to sulphite, milk allergy, sulfonamide allergy, drug hypersensitivity to CECLOR and polycystic ovarin syndrome who on 01-MAY-2007 was vaccinated, into left arm, with a second dose og GARDASIL. On 01-MAY-2007, within 1 minute, the patient recovered from all symptoms and her heart rate was 68. There were no diagnostic or laboratory test performed. No further information is available.


Changed on 5/14/2017

VAERS ID: 284145 Before After
Age:14.0
Gender:Female
Location:New York
Vaccinated:2007-05-01
Onset:2007-05-01
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / UN

Administered by: Private      Purchased by: Other
Symptoms: Loss of consciousness, Muscle twitching, Paraesthesia

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Reaction to sulphite; Milk allergy; Sulfonamide; Drug hypersensitivity; Polycystic ovarian syndrome
Preexisting Conditions: Unknown
Diagnostic Lab Data: Total heartbeat count, 05/01/2007, 46; Total heartbeat count, 05/01/07, 68.
CDC 'Split Type': WAES0705USA03385

Write-up:Information has been received from a physician concerning a 14 year old female who was vaccinated with a second dose of Gardasil. Subsequently the patient experienced tingling in her nose, passed out and little twitching. Unspecified medical attention was sought. It was reported that the patient recovered 2 minutes after the vaccine was administered. There were no diagnostic or laboratory tests performed. Additional information has been requested. This is in follow-up to reports previously submitted on 6/14/2007. Initial and follow-up information has been received from a physician concerning a 14 year old female stundent with reaction to sulphite, milk allergy, sulfonamide allergy, drug hypersensitivity to CECLOR and polycystic ovarin syndrome who on 01-MAY-2007 was vaccinated, into left arm, with a second dose og GARDASIL. On 01-MAY-2007, within 1 minute, the patient recovered from all symptoms and her heart rate was 68. There were no diagnostic or laboratory test performed. No further information is available.


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