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This is VAERS ID 284537

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284537
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness, Loss of consciousness

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

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unsp"ecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284537 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0705USA05737

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unsp"ecified unspecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested.


Changed on 2/5/2010

VAERS ID: 284537 Before After
Age:14.0
Gender:Female
Location:Unknown Arkansas
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Loss of consciousness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05737

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unspecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested. In follow-up it was reported by the licensed practical nurse (LPN), concerning her white, 14 year old, student daughter, whose reported weight was 123 pounds and whose reported height was 65.2 inches who on 26-May-2007 was vaccinated intramuscularly (IM) with 0.5 ml of Gardasil (lot #657622/03880). It was reported that on 25-May-2007 after the patient received the Gardasil, the patient said that she didn''t feel very well and everything was black. She was assisted to a lying position and while she was getting ready to lie down she went limp and passed out for 3 minutes. Her name was called 2-3 times and she came "to". I t was reported thst the patient recovered. Additional information has been requested.


Changed on 7/31/2010

VAERS ID: 284537 Before After
Age:14.0
Gender:Female
Location:Arkansas
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hypotonia, Loss of consciousness, Malaise

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05737

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unspecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested. In follow-up it was reported by the licensed practical nurse (LPN), concerning her white, 14 year old, student daughter, whose reported weight was 123 pounds and whose reported height was 65.2 inches who on 26-May-2007 was vaccinated intramuscularly (IM) with 0.5 ml of Gardasil (lot #657622/03880). It was reported that on 25-May-2007 after the patient received the Gardasil, the patient said that she didn''t feel very well and everything was black. She was assisted to a lying position and while she was getting ready to lie down she went limp and passed out for 3 minutes. Her name was called 2-3 times and she came "to". I t was reported thst the patient recovered. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 284537 Before After
Age:14.0
Gender:Female
Location:Arkansas
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hypotonia, Loss of consciousness, Malaise

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05737

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unspecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested. In follow-up it was reported by the licensed practical nurse (LPN), concerning her white, 14 year old, student daughter, whose reported weight was 123 pounds and whose reported height was 65.2 inches who on 26-May-2007 was vaccinated intramuscularly (IM) with 0.5 ml of Gardasil (lot #657622/03880). It was reported that on 25-May-2007 after the patient received the Gardasil, the patient said that she didn''t feel very well and everything was black. She was assisted to a lying position and while she was getting ready to lie down she went limp and passed out for 3 minutes. Her name was called 2-3 times and she came "to". I t was reported thst the patient recovered. Additional information has been requested.


Changed on 5/14/2017

VAERS ID: 284537 Before After
Age:14.0
Gender:Female
Location:Arkansas
Vaccinated:2007-05-26
Onset:2007-05-26
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - - / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Hypotonia, Loss of consciousness, Malaise

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': WAES0705USA05737

Write-up:Information has been received from a nurse concerning her 14 year old daughter who on 26-APR-2007 was vaccinated IM with 0.5 ml of Gardasil. On 26-MAY-2007 after she was vaccinated, the patient experienced dizziness and passed out. The patient sought unspecified medical attention. Subsequently, the patient recovered from the events. Additional information has been requested. In follow-up it was reported by the licensed practical nurse (LPN), concerning her white, 14 year old, student daughter, whose reported weight was 123 pounds and whose reported height was 65.2 inches who on 26-May-2007 was vaccinated intramuscularly (IM) with 0.5 ml of Gardasil (lot #657622/03880). It was reported that on 25-May-2007 after the patient received the Gardasil, the patient said that she didn''t feel very well and everything was black. She was assisted to a lying position and while she was getting ready to lie down she went limp and passed out for 3 minutes. Her name was called 2-3 times and she came "to". I t was reported thst the patient recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284537&WAYBACKHISTORY=ON


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