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This is VAERS ID 284152

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284152
VAERS Form:
Age:16.0
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: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested.


Changed on 3/2/2010

284152 Before After
VAERS Form:
Age:16.0 17.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00 2007-04-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0244U / - 1 UN / UN IM

Administered by: Other Private      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a mother and a physician concerning her 16 year old daughter who in February 2007, was vaccinated with the first dose of GARDASIL. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 (also reported as 30-MAR-2007), the patient received her second dose of GARDASIL, (lot #656051/0244U), IM. Again the patient experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information is not expected.


Changed on 4/7/2010

284152 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack, Balance disorder, Vaccine positive rechallenge

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a mother and a physician concerning her 16 year old daughter who in February 2007, was vaccinated with the first dose of GARDASIL. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 (also reported as 30-MAR-2007), the patient received her second dose of GARDASIL, (lot #656051/0244U), IM. Again the patient experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information is not expected.


Changed on 6/14/2014

284152 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack, Balance disorder, Vaccine positive rechallenge

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a mother and a physician concerning her 16 year old daughter who in February 2007, was vaccinated with the first dose of GARDASIL. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 (also reported as 30-MAR-2007), the patient received her second dose of GARDASIL, (lot #656051/0244U), IM. Again the patient experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information is not expected.


Changed on 5/14/2017

284152 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack, Balance disorder, Vaccine positive rechallenge

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a mother and a physician concerning her 16 year old daughter who in February 2007, was vaccinated with the first dose of GARDASIL. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 (also reported as 30-MAR-2007), the patient received her second dose of GARDASIL, (lot #656051/0244U), IM. Again the patient experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information is not expected.


Changed on 9/14/2017

284152 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Unknown
Vaccinated:2007-04-30
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0244U / 1 2 UN / IM

Administered by: Private      Purchased by: Other
Symptoms: Chest discomfort, Dyspnoea, Feeling abnormal, Panic attack, Balance disorder, Vaccine positive rechallenge

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: Unknown
CDC 'Split Type': WAES0705USA03664

Write-up:Information has been received from a mother concerning her 16 year old daughter who in February 2007, was vaccinated with Gardasil. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 the patient received her second dose of the vaccine and again experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information has been requested. 07/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a mother and a physician concerning her 16 year old daughter who in February 2007, was vaccinated with the first dose of GARDASIL. In February 2007, the patient experienced difficulty breathing, unbalanced feeling, "panic attack" and pressure on her chest. On 30-APR-2007 (also reported as 30-MAR-2007), the patient received her second dose of GARDASIL, (lot #656051/0244U), IM. Again the patient experienced unbalanced feeling, "panic attack", pressure on her chest and difficulty breathing. This is one of three reports received from the mother. These reactions occurred in less severe form than her sister which was reported in WAES #0705USA03593. No further details were provided. Additional information is not expected.


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