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This is VAERS ID 284530

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284530
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness

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

Write-up:Information has been received from a physician concerning a 12 year old female who was vaccinated with Gardasil. Concomitant therapy included DPT and Menactra. Subsequently the patient experienced dizziness and a lightheaded woozy feeling after receiving"therapy with Gardasil. Subsequently, the patient recovered from dizziness and lightheaded woozy feeling. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284530 Before After
Age:12.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - / -
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / -
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - - / -

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA05712

Write-up:Information has been received from a physician concerning a 12 year old female who was vaccinated with Gardasil. Concomitant therapy included DPT and Menactra. Subsequently the patient experienced dizziness and a lightheaded woozy feeling after receiving"therapy receiving therapy with Gardasil. Subsequently, the patient recovered from dizziness and lightheaded woozy feeling. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284530 Before After
Age:12.0 11.0
Gender:Female
Location:Unknown Washington
Vaccinated:0000-00-00 2007-05-16
Onset:0000-00-00 2007-05-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - - UN / - IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 0171U / - 0 - UN / - IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - - UN / - IM

Administered by: Unknown Other      Purchased by: Unknown Other
Symptoms: Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05712

Write-up:Information has been received from a physician concerning a 12 year old female who was vaccinated with Gardasil. Concomitant therapy included DPT and Menactra. Subsequently the patient experienced dizziness and a lightheaded woozy feeling after receiving therapy with Gardasil. Subsequently, the patient recovered from dizziness and lightheaded woozy feeling. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial information has been received from a physician and a licensed practical nurse concerning a 11 year old female who on 16-MAY-2007 was vaccinated with a first dose of GARDASIL (lot # 655620/0171U). On 16-MAY-2007, concomitant therapy included IM dose of DTP, IM dose of MENACTRA and IM dose of hepatitis A virus vaccine (manufacturer unknown). On 16-MAY-2007, experienced dizziness lasting about 15 minutes. On 16-MAY-2007, the patient recovered from dizziness and the lightheaded woozy feeling. Additional information is not expected.


Changed on 4/7/2010

VAERS ID: 284530 Before After
Age:11.0
Gender:Female
Location:Washington
Vaccinated:2007-05-16
Onset:2007-05-16
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTP: DTP (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / IM
HEPA: HEP A (VAQTA) / MERCK & CO. INC. - / - UN / IM
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0171U / 0 UN / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05712

Write-up:Information has been received from a physician concerning a 12 year old female who was vaccinated with Gardasil. Concomitant therapy included DPT and Menactra. Subsequently the patient experienced dizziness and a lightheaded woozy feeling after receiving therapy with Gardasil. Subsequently, the patient recovered from dizziness and lightheaded woozy feeling. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial information has been received from a physician and a licensed practical nurse concerning a 11 year old female who on 16-MAY-2007 was vaccinated with a first dose of GARDASIL (lot # 655620/0171U). On 16-MAY-2007, concomitant therapy included IM dose of DTP, IM dose of MENACTRA and IM dose of hepatitis A virus vaccine (manufacturer unknown). On 16-MAY-2007, experienced dizziness lasting about 15 minutes. On 16-MAY-2007, the patient recovered from dizziness and the lightheaded woozy feeling. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284530&WAYBACKHISTORY=ON


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