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This is VAERS ID 284402

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284402
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-02-14
Onset:2007-03-15
Submitted:2007-06-01
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01864 / 0 LA / -

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Electroencephalogram, Hyperhidrosis, Presyncope, Neurological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen - Lo
Current Illness: None Known
Preexisting Conditions: No Known allergies
Allergies:
Diagnostic Lab Data: EEG 3-15-07 Neurology Evaluation/clearance 5-16-07
CDC 'Split Type':

Write-up:First Gardasil given 2-14-07 pt returned 4-11-07. Informed nurse of episode of dizziness severe with diaphoresis - near syncope - within 3 days of 1st injection - ER visit - DX possible seizure - referred to neurology. Neuro cleared pt feels not related t"o Gardasil event occurred actually 3wks after injection.


Changed on 12/8/2009

284402 Before After
VAERS Form:
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-02-14
Onset:2007-03-15
Submitted:2007-06-01
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01864 / 0 LA / -

Administered by: Private      Purchased by: Unknown Other
Symptoms: Dizziness, Electroencephalogram, Hyperhidrosis, Presyncope, Neurological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen - Lo
Current Illness: None Known
Preexisting Conditions: No Known allergies
Allergies:
Diagnostic Lab Data: EEG 3-15-07 Neurology Evaluation/clearance 5-16-07
CDC 'Split Type':

Write-up:First Gardasil given 2-14-07 pt returned 4-11-07. Informed nurse of episode of dizziness severe with diaphoresis - near syncope - within 3 days of 1st injection - ER visit - DX possible seizure - referred to neurology. Neuro cleared pt feels not related t"o to Gardasil event occurred actually 3wks after injection.


Changed on 9/14/2017

284402 Before After
VAERS Form:(blank) 1
Age:20.0
Gender:Female
Location:Florida
Vaccinated:2007-02-14
Onset:2007-03-15
Submitted:2007-06-01
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 01864 / 0 1 LA / -

Administered by: Private      Purchased by: Other
Symptoms: Dizziness, Electroencephalogram, Hyperhidrosis, Presyncope, Neurological examination

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Orthotricyclen - Lo
Current Illness: None Known
Preexisting Conditions: No Known allergies
Allergies:
Diagnostic Lab Data: EEG 3-15-07 Neurology Evaluation/clearance 5-16-07
CDC 'Split Type':

Write-up:First Gardasil given 2-14-07 pt returned 4-11-07. Informed nurse of episode of dizziness severe with diaphoresis - near syncope - within 3 days of 1st injection - ER visit - DX possible seizure - referred to neurology. Neuro cleared pt feels not related to Gardasil event occurred actually 3wks after injection.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284402&WAYBACKHISTORY=ON


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