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This is VAERS ID 284552

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284552
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 2 - / IM

Administered by: Other      Purchased by: Unknown
Symptoms: Body temperature increased, Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
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 health professional concerning an 11 year old female who on 27-MAR-207 was vaccinated with Gardasil (lot number 657736/0389U). Two months later, on 29-MAY-2007, she received her third dose of the vaccination (lot numbe"r 657736/0389U). On 30-May-2007 the patient experienced dizziness, felt lightheaded and developed an elevated temperature. Degree of fever is unknown. At the time of this report, the patient had not recovered. Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284552 Before After
Age:11.0
Gender:Female
Location:Unknown
Vaccinated:2007-05-29
Onset:2007-05-29
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0389U / 2 - / IM

Administered by: Other      Purchased by: Unknown Other
Symptoms: Body temperature increased, Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data:
CDC 'Split Type': (blank) WAES0706USA00025

Write-up:Information has been received from a health professional concerning an 11 year old female who on 27-MAR-207 was vaccinated with Gardasil (lot number 657736/0389U). Two months later, on 29-MAY-2007, she received her third dose of the vaccination (lot numbe"r number 657736/0389U). On 30-May-2007 the patient experienced dizziness, felt lightheaded and developed an elevated temperature. Degree of fever is unknown. At the time of this report, the patient had not recovered. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284552&WAYBACKHISTORY=ON


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