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This is VAERS ID 284460

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

284460
VAERS Form:
Age:
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Blood pressure, Dizziness, Loss of consciousness, Nausea, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: blood pressure
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested.


Changed on 3/2/2010

284460 Before After
VAERS Form:
Age:(blank) 18.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00 2007-05-07
Onset:0000-00-00 2007-05-07
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1427F / 1 UN LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Blood pressure, Dizziness, Loss of consciousness, Nausea, Immediate post-injection reaction

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No 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: Unknown
Current Illness:
Preexisting Conditions: Unknown None
Allergies:
Diagnostic Lab Data: blood pressure pressure, 05/07/07, stable; body temp, 05/07/07, OK
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested. 10/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning an 18 year old female with no prior history of drug reactions who was vaccinated intramuscularly into the left deltoid on 07-MAY-2007 at 09:15 AM with the second dose of GARDASIL. Subsequently, the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up. Medical attention was sought. In additional information received on 11-JUL-2007, the attending physician reported that the patient felt dizzy and lightheaded secondary to the vaccine. Her blood pressure was stable and temperature was OK. On 07-MAY-2007, the patient recovered from the nausea, dizziness, syncope, and being lightheaded. No further information is expected.


Changed on 4/7/2010

284460 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Ohio
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. 1427F / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature, Dizziness, Loss of consciousness, Nausea

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: blood pressure, 05/07/07, stable; body temp, 05/07/07, OK
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested. 10/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning an 18 year old female with no prior history of drug reactions who was vaccinated intramuscularly into the left deltoid on 07-MAY-2007 at 09:15 AM with the second dose of GARDASIL. Subsequently, the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up. Medical attention was sought. In additional information received on 11-JUL-2007, the attending physician reported that the patient felt dizzy and lightheaded secondary to the vaccine. Her blood pressure was stable and temperature was OK. On 07-MAY-2007, the patient recovered from the nausea, dizziness, syncope, and being lightheaded. No further information is expected.


Changed on 6/14/2014

284460 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Ohio
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. 1427F / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature, Dizziness, Loss of consciousness, Nausea

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: blood pressure, 05/07/07, stable; body temp, 05/07/07, OK
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested. 10/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning an 18 year old female with no prior history of drug reactions who was vaccinated intramuscularly into the left deltoid on 07-MAY-2007 at 09:15 AM with the second dose of GARDASIL. Subsequently, the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up. Medical attention was sought. In additional information received on 11-JUL-2007, the attending physician reported that the patient felt dizzy and lightheaded secondary to the vaccine. Her blood pressure was stable and temperature was OK. On 07-MAY-2007, the patient recovered from the nausea, dizziness, syncope, and being lightheaded. No further information is expected.


Changed on 5/14/2017

284460 Before After
VAERS Form:
Age:18.0
Gender:Female
Location:Ohio
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. 1427F / 1 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature, Dizziness, Loss of consciousness, Nausea

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: blood pressure, 05/07/07, stable; body temp, 05/07/07, OK
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested. 10/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning an 18 year old female with no prior history of drug reactions who was vaccinated intramuscularly into the left deltoid on 07-MAY-2007 at 09:15 AM with the second dose of GARDASIL. Subsequently, the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up. Medical attention was sought. In additional information received on 11-JUL-2007, the attending physician reported that the patient felt dizzy and lightheaded secondary to the vaccine. Her blood pressure was stable and temperature was OK. On 07-MAY-2007, the patient recovered from the nausea, dizziness, syncope, and being lightheaded. No further information is expected.


Changed on 9/14/2017

284460 Before After
VAERS Form:(blank) 1
Age:18.0
Gender:Female
Location:Ohio
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. 1427F / 1 2 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Body temperature, Dizziness, Loss of consciousness, Nausea

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: blood pressure, 05/07/07, stable; body temp, 05/07/07, OK
CDC 'Split Type': WAES0705USA04103

Write-up:Information has been received from a physician concerning a female who was vaccinated IM with the second dose of Gardasil. Subsequently the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up . The patient''s outcome was not reported. Medical attention was sought. Additional information has been requested. 10/06/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a physician concerning an 18 year old female with no prior history of drug reactions who was vaccinated intramuscularly into the left deltoid on 07-MAY-2007 at 09:15 AM with the second dose of GARDASIL. Subsequently, the patient passed out within 5-10 minutes after receiving the vaccine. The patient went up to the circulation desk to pay before leaving and made it to the parking lot. The physician reported that the patient began to feel some nausea and dizziness so she came back into the physician''s office. It was unclear as to when and where the patient passed out. The physician reported that they had taken the patient''s blood pressure and let her rest while back in the office and someone came to pick her up. Medical attention was sought. In additional information received on 11-JUL-2007, the attending physician reported that the patient felt dizzy and lightheaded secondary to the vaccine. Her blood pressure was stable and temperature was OK. On 07-MAY-2007, the patient recovered from the nausea, dizziness, syncope, and being lightheaded. No further information is expected.


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