National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284418

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284418
VAERS Form:
Age:19.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-12
Onset:2007-07-12
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 1 LA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Blood pressure decreased, Cold sweat, Heart rate, Pallor, Cold compress therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Yaz
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt. given vaccine, was in the process of checking out and became fainty, clammy, poor skin color, would not acknowldege questions asked or instructions. BP at that time was 70/40, with a pulse of 50. Cold compresses applied to forehead, fan was turned to"pt.,coke and saltines to pt. BP 10 minutes later was 86/58 , pulse 74. Pt. continued to rest and vitals again taken after 10 minutes-BP 90/60 and pulse 74. Pt. was no longer clammy, was speaking when spoken to, color good.Stated that she had not eaten any


Changed on 12/8/2009

284418 Before After
VAERS Form:
Age:19.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-12
Onset:2007-07-12
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 1 LA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Blood pressure decreased, Cold sweat, Heart rate, Pallor, Syncope, Cold compress therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Yaz
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt. given vaccine, was in the process of checking out and became fainty, clammy, poor skin color, would not acknowldege questions asked or instructions. BP at that time was 70/40, with a pulse of 50. Cold compresses applied to forehead, fan was turned to"pt.,coke to pt.,coke and saltines to pt. BP 10 minutes later was 86/58 , pulse 74. Pt. continued to rest and vitals again taken after 10 minutes-BP 90/60 and pulse 74. Pt. was no longer clammy, was speaking when spoken to, color good.Stated that she had not eaten any anything this am. Felt better and was told to call the office prn.


Changed on 9/14/2017

284418 Before After
VAERS Form:(blank) 1
Age:19.0
Gender:Female
Location:Georgia
Vaccinated:2007-07-12
Onset:2007-07-12
Submitted:2007-07-12
Entered:2007-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0802U / 1 2 LA / SC

Administered by: Private      Purchased by: Private
Symptoms: Blood pressure decreased, Cold sweat, Heart rate, Pallor, Syncope, Cold compress therapy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Yaz
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Pt. given vaccine, was in the process of checking out and became fainty, clammy, poor skin color, would not acknowldege questions asked or instructions. BP at that time was 70/40, with a pulse of 50. Cold compresses applied to forehead, fan was turned to pt.,coke and saltines to pt. BP 10 minutes later was 86/58 , pulse 74. Pt. continued to rest and vitals again taken after 10 minutes-BP 90/60 and pulse 74. Pt. was no longer clammy, was speaking when spoken to, color good.Stated that she had not eaten anything this am. Felt better and was told to call the office prn.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284418&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166