National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 284565

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284565
Age:12.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Dizziness

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: Unknown
CDC 'Split Type':

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness aft"er receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested.


Changed on 12/8/2009

VAERS ID: 284565 Before After
Age:12.0
Gender:Female
Location:New York
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Dizziness

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: Unknown
CDC 'Split Type': (blank) WAES0706USA00304

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness aft"er after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested.


Changed on 3/2/2010

VAERS ID: 284565 Before After
Age:12.0 16.0
Gender:Female
Location:New York
Vaccinated:0000-00-00 2007-01-18
Onset:0000-00-00 2007-01-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - 1162F / - 0 UN RA / UN IM
MNQ: MENINGOCOCCAL (MENACTRA) / SANOFI PASTEUR U2159AA / 0 LA / IM

Administered by: Other Private      Purchased by: Other Private
Symptoms: Dizziness

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? Yes No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown None
Diagnostic Lab Data: Unknown None
CDC 'Split Type': WAES0706USA00304

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a physician, concerning a 12 year old female patient, with no pertinent medical history or illness at the time of vaccination, who on 18-JAN-2007, was vaccinated IM in the right arm, with the first dose of GARDASIL (Lot #654540/1162F). Concomitant therapy included an IM vaccination in the left arm with the first dose of MENACTRA (Lot #U2159AA). The physician reported that the patient became dizzy/lightheaded, felt weak, and became very pale after receiving the vaccination. The patient was helped to a chair, and kept closing her eyes; she was then helped to lie down. Her blood pressure and blood glucose were "within acceptable limits" (values not provided), but each time she tried to get up, she would feel dizzy again and had to lie back down. She was given juice, and within approximately 15 minutes, she had recovered and was able to leave. No futher information is expected.


Changed on 4/7/2010

VAERS ID: 284565 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 RA / IM
MNQ: MENINGOCOCCAL (MENACTRA) MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2159AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA00304

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a physician, concerning a 12 year old female patient, with no pertinent medical history or illness at the time of vaccination, who on 18-JAN-2007, was vaccinated IM in the right arm, with the first dose of GARDASIL (Lot #654540/1162F). Concomitant therapy included an IM vaccination in the left arm with the first dose of MENACTRA (Lot #U2159AA). The physician reported that the patient became dizzy/lightheaded, felt weak, and became very pale after receiving the vaccination. The patient was helped to a chair, and kept closing her eyes; she was then helped to lie down. Her blood pressure and blood glucose were "within acceptable limits" (values not provided), but each time she tried to get up, she would feel dizzy again and had to lie back down. She was given juice, and within approximately 15 minutes, she had recovered and was able to leave. No futher information is expected.


Changed on 6/14/2014

VAERS ID: 284565 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2159AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA00304

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a physician, concerning a 12 year old female patient, with no pertinent medical history or illness at the time of vaccination, who on 18-JAN-2007, was vaccinated IM in the right arm, with the first dose of GARDASIL (Lot #654540/1162F). Concomitant therapy included an IM vaccination in the left arm with the first dose of MENACTRA (Lot #U2159AA). The physician reported that the patient became dizzy/lightheaded, felt weak, and became very pale after receiving the vaccination. The patient was helped to a chair, and kept closing her eyes; she was then helped to lie down. Her blood pressure and blood glucose were "within acceptable limits" (values not provided), but each time she tried to get up, she would feel dizzy again and had to lie back down. She was given juice, and within approximately 15 minutes, she had recovered and was able to leave. No futher information is expected.


Changed on 5/14/2017

VAERS ID: 284565 Before After
Age:16.0
Gender:Female
Location:New York
Vaccinated:2007-01-18
Onset:2007-01-18
Submitted:2007-06-14
Entered:2007-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1162F / 0 RA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2159AA / 0 LA / IM

Administered by: Private      Purchased by: Private
Symptoms: Asthenia, Dizziness, Pallor

Life Threatening? No
Died? No
Permanent Disability? No
Recovered? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type': WAES0706USA00304

Write-up:Information has been received from a physician, via a company representative, concerning a 12 year old female patient, who was vaccinated with a dose Gardasil (date and dose not specified). The physician reported that the patient experienced dizziness after receiving the vaccination, and subsequently, recovered (duration not specified). Additional information has been requested. 10/08/07 This is in follow-up to report(s) previously submitted on 6/14/2007. Initial and follow up information has been received from a physician, concerning a 12 year old female patient, with no pertinent medical history or illness at the time of vaccination, who on 18-JAN-2007, was vaccinated IM in the right arm, with the first dose of GARDASIL (Lot #654540/1162F). Concomitant therapy included an IM vaccination in the left arm with the first dose of MENACTRA (Lot #U2159AA). The physician reported that the patient became dizzy/lightheaded, felt weak, and became very pale after receiving the vaccination. The patient was helped to a chair, and kept closing her eyes; she was then helped to lie down. Her blood pressure and blood glucose were "within acceptable limits" (values not provided), but each time she tried to get up, she would feel dizzy again and had to lie back down. She was given juice, and within approximately 15 minutes, she had recovered and was able to leave. No futher information is expected.


New Search

Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284565&WAYBACKHISTORY=ON


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166