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This is VAERS ID 284550

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284550
Age:17.0
Gender:Female
Location:Unknown
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 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

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

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female who on 16-MAY-2007 was vaccinated with her first dose of Gardasil. Concomitant therapy included Menactra. On 16-MAY-2007 the patient fainted. Subsequently, the patient"recovered from fainted. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284550 Before After
Age:17.0
Gender:Female
Location:Unknown
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 - / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA00022

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female who on 16-MAY-2007 was vaccinated with her first dose of Gardasil. Concomitant therapy included Menactra. On 16-MAY-2007 the patient fainted. Subsequently, the patient"recovered patient recovered from fainted. Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284550 Before After
Age:17.0
Gender:Female
Location:Unknown
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 - / IM
MEN: MENINGOCOCCAL (NO BRAND NAME) / UNKNOWN MANUFACTURER - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: MENACTRA
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0706USA00022

Write-up:Information has been received from a nurse practitioner concerning a 17 year old female who on 16-MAY-2007 was vaccinated with her first dose of Gardasil. Concomitant therapy included Menactra. On 16-MAY-2007 the patient fainted. Subsequently, the patient recovered from fainted. Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Information has been received from a nurse practitioner concerning a 17 year old female who on 16-MAY-2007 was vaccinated with her first dose of GARDASIL (lot # unknown). Concomitant therapy included MENACTRA given on the same day. On 16-MAY-2007 the patient fainted after being vaccinated. Medical attention was sought. On 16-MAY-2007 the patient recovered. Therapy was discontinued. Further information is not available.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284550&WAYBACKHISTORY=ON


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