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This is VAERS ID 284256

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284256
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-07-10
Onset:2007-07-10
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure, Dizziness, Lethargy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient was given 1st dose of Gardasil, along with Menactra, in the left deltoid. Gardasil was given first, and then Menactra. Patient was seated at time of administration of vaccines. Within 5 seconds of the vaccines being given, the patient felt fain"t and closed her eyes. She lay down and said she felt dizzy. She was lethargic but responsive. I came into the room within 1 minute of this episode. The patient was laying down but felt better. She denied any visual changes had occurred -- just that


Changed on 12/8/2009

VAERS ID: 284256 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-07-10
Onset:2007-07-10
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure, Dizziness, Lethargy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient was given 1st dose of Gardasil, along with Menactra, in the left deltoid. Gardasil was given first, and then Menactra. Patient was seated at time of administration of vaccines. Within 5 seconds of the vaccines being given, the patient felt fain"t faint and closed her eyes. She lay down and said she felt dizzy. She was lethargic but responsive. I came into the room within 1 minute of this episode. The patient was laying down but felt better. She denied any visual changes had occurred -- just that she felt faint and dizzy. Blood pressure was 102/70. She was given some juice. She felt much better after about 5 minutes and was sent home. Her mother will watch her and call me if any further problems. No further Gardisil vaccines will be given to her.


Changed on 4/7/2010

VAERS ID: 284256 Before After
Age:18.0
Gender:Female
Location:California
Vaccinated:2007-07-10
Onset:2007-07-10
Submitted:2007-07-10
Entered:2007-07-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 0 LA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2227AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure, Dizziness, Lethargy

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: NONE
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up:Patient was given 1st dose of Gardasil, along with Menactra, in the left deltoid. Gardasil was given first, and then Menactra. Patient was seated at time of administration of vaccines. Within 5 seconds of the vaccines being given, the patient felt faint and closed her eyes. She lay down and said she felt dizzy. She was lethargic but responsive. I came into the room within 1 minute of this episode. The patient was laying down but felt better. She denied any visual changes had occurred -- just that she felt faint and dizzy. Blood pressure was 102/70. She was given some juice. She felt much better after about 5 minutes and was sent home. Her mother will watch her and call me if any further problems. No further Gardisil vaccines will be given to her.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284256&WAYBACKHISTORY=ON


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