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This is VAERS ID 284168

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 284168
Age:
Gender:Female
Location:Arkansas
Vaccinated:2007-05-07
Onset:2007-05-07
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

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': WAES0705USA03903

Write-up:Information has been received from a physician, via a company representative, concerning a female patient, who on approximately 07-MAY-2007 ("about 2 weeks ago"), was vaccinated IM with a dose, 0.5ml, of Gardasil. The physician reported that on 07-MAY-2007, "the patient fainted right after receiving Gardasil," and confirmed that the patient had recovered (date unspecified). The patient sought unspecified medical attention. No further information is available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284168&WAYBACKHISTORY=ON


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