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This is VAERS ID 284426

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284426
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
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. UNKNOWN / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chills, Deafness, Dizziness, Hyperhidrosis

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: none~ ()~NULL~~In Patient
Other Medications: None (vitamin supplements)
Current Illness: Pink-eye infection
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': none

Write-up:Lightheadedness, dizziness, blackout, temporary loss of hearing, chills and sweats.


Changed on 12/8/2009

284426 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Wisconsin
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. UNKNOWN / 0 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chills, Deafness, Dizziness, Hyperhidrosis, Loss of consciousness

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: none~ ()~NULL~~In Patient
Other Medications: None (vitamin supplements)
Current Illness: Pink-eye infection
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': none (blank)

Write-up:Lightheadedness, dizziness, blackout, temporary loss of hearing, chills and sweats.


Changed on 9/14/2017

284426 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Wisconsin
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. UNKNOWN / 0 1 LA / IM

Administered by: Private      Purchased by: Unknown
Symptoms: Chills, Deafness, Dizziness, Hyperhidrosis, Loss of consciousness

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: none~ ()~NULL~~In Patient
Other Medications: None (vitamin supplements)
Current Illness: Pink-eye infection
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up:Lightheadedness, dizziness, blackout, temporary loss of hearing, chills and sweats.


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