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This is VAERS ID 284525

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284525
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2007-05-16
Onset:2007-05-16
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: Private      Purchased by: Unknown
Symptoms: Pallor, 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':

Write-up:Information has been received from a registered nurse concerning a 14 year old female who /"two weeks ago/" on 16-MAY-2007 was vaccinated with her first dose of Gardasil 0.5 ml intramuscularly. After receiving the vaccination on 16-MAY-2007, the patient t"urned white, grabbed her mother''''s arm and then fainted. Subsequently, the patient recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284525 Before After
Age:14.0
Gender:Female
Location:Ohio
Vaccinated:2007-05-16
Onset:2007-05-16
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: Private      Purchased by: Unknown Other
Symptoms: Pallor, 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': (blank) WAES0705USA05692

Write-up:Information has been received from a registered nurse concerning a 14 year old female who /"two "two weeks ago/" ago" on 16-MAY-2007 was vaccinated with her first dose of Gardasil 0.5 ml intramuscularly. After receiving the vaccination on 16-MAY-2007, the patient t"urned turned white, grabbed her mother''''s mother''s arm and then fainted. Subsequently, the patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284525&WAYBACKHISTORY=ON


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