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This is VAERS ID 284504

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284504
Age:
Gender:Female
Location:New York
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. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a"minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the l


Changed on 12/8/2009

VAERS ID: 284504 Before After
Age:
Gender:Female
Location:New York
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. - / 0 UN / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a"minute a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the l lot numbers. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284504 Before After
Age:(blank) 11.0
Gender:Female
Location:New York
Vaccinated:0000-00-00 2007-04-30
Onset:0000-00-00 2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0387U / 0 1 UN / IM

Administered by: Other Private      Purchased by: Other Public
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 1/4/2011

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 4/13/2011

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 5/13/2011

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 6/11/2011

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 284504 Before After
Age:11.0
Gender:Female
Location:New York
Vaccinated:2007-04-30
Onset:2007-04-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0387U / 1 UN / IM

Administered by: Private      Purchased by: Public
Symptoms: Feeling hot, Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05336

Write-up:Information has been received from a physician and follow up information has been received from a nurse concerning a female patient between the ages of 11 and 19 who was vaccinated with a first dose of Gardasil. It was reported that the patient sat for a minute (after receiving the injection) and when she got up to leave she fainted in the hallway. Her outcome was not reported. The physician reported that lot numbers were not available, however, the physician will forward other information including the lot numbers. Additional information has been requested. This is in follow-up to report(s) previously submitted on 6/14/2007. Follow up information has been received from a health professional concerning the 12 year old female student with no medical history who on 30-APR-2007 received her second IM dose of GARDASIL, lot #657621/0387U. The immunization was followed by a warm sensation all over. The patient laid down for 10 minutes and felt better with no further incident. No treatment was necessary. She was reported as recovered after an unspecified time. Additional information is not expected.


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