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This is VAERS ID 284533

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284533
VAERS Form:
Age:17.0
Gender:Female
Location:Georgia
Vaccinated:2007-05-30
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a nurse concerning a 17 year old female who 30-MAY-2007 was vaccinated with a dose of Gardasil. The patient was concomitantly vaccinated with a dose of Menactra. The patient reported to the nurse that the Gardasil inject"ion was more painful than Menactra. Subsequently, the patient passed out in the waiting room after Gardasil. The patient sought unspecified medical attention. The patient recovered from the event on 30-MAY-2007. No further information is available.


Changed on 12/8/2009

284533 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Georgia
Vaccinated:2007-05-30
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0705USA05718

Write-up:Information has been received from a nurse concerning a 17 year old female who 30-MAY-2007 was vaccinated with a dose of Gardasil. The patient was concomitantly vaccinated with a dose of Menactra. The patient reported to the nurse that the Gardasil inject"ion injection was more painful than Menactra. Subsequently, the patient passed out in the waiting room after Gardasil. The patient sought unspecified medical attention. The patient recovered from the event on 30-MAY-2007. No further information is available.


Changed on 4/7/2010

284533 Before After
VAERS Form:
Age:17.0
Gender:Female
Location:Georgia
Vaccinated:2007-05-30
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05718

Write-up:Information has been received from a nurse concerning a 17 year old female who 30-MAY-2007 was vaccinated with a dose of Gardasil. The patient was concomitantly vaccinated with a dose of Menactra. The patient reported to the nurse that the Gardasil injection was more painful than Menactra. Subsequently, the patient passed out in the waiting room after Gardasil. The patient sought unspecified medical attention. The patient recovered from the event on 30-MAY-2007. No further information is available.


Changed on 9/14/2017

284533 Before After
VAERS Form:(blank) 1
Age:17.0
Gender:Female
Location:Georgia
Vaccinated:2007-05-30
Onset:2007-05-30
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Injection site pain, 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)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0705USA05718

Write-up:Information has been received from a nurse concerning a 17 year old female who 30-MAY-2007 was vaccinated with a dose of Gardasil. The patient was concomitantly vaccinated with a dose of Menactra. The patient reported to the nurse that the Gardasil injection was more painful than Menactra. Subsequently, the patient passed out in the waiting room after Gardasil. The patient sought unspecified medical attention. The patient recovered from the event on 30-MAY-2007. No further information is available.


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