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This is VAERS ID 284551

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284551
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

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

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 physician concerning a female who on 22-NOV-2006 was vaccinated with Gardasil. On 22-NOV-2006 the patient passed out in the lobby 5 minutes after she was vaccinated. The patient recovered. It was noted that the patient"''''s mother has a history of syncope. Subsequently, the patient received dose 2 and dose 3 without any adverse experience. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284551 Before After
Age:
Gender:Female
Location:Unknown
Vaccinated:2006-11-22
Onset:2006-11-22
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

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

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) WAES0706USA00023

Write-up:Information has been received from a physician concerning a female who on 22-NOV-2006 was vaccinated with Gardasil. On 22-NOV-2006 the patient passed out in the lobby 5 minutes after she was vaccinated. The patient recovered. It was noted that the patient"''''s patient''s mother has a history of syncope. Subsequently, the patient received dose 2 and dose 3 without any adverse experience. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284551&WAYBACKHISTORY=ON


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