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This is VAERS ID 284581

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284581
Age:9.0
Gender:Female
Location:Texas
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. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: 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: Nervousness
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a medical assistant concerning a 9 year old female who was vaccinated with the first dose of Gardasil. It was reported that the patient appeared to be nervous prior to vaccination, and subsequently, 5-10 seconds after va"ccination the patient fainted. The patient''''s mother caught her so that she did not fall and incur any additional injury. The patient sought unspecified medical attention. It took 5-10 minutes for the patient to fully recover, and then she was able to lea


Changed on 12/8/2009

VAERS ID: 284581 Before After
Age:9.0
Gender:Female
Location:Texas
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. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: 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: Nervousness
Preexisting Conditions:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0706USA01472

Write-up:Information has been received from a medical assistant concerning a 9 year old female who was vaccinated with the first dose of Gardasil. It was reported that the patient appeared to be nervous prior to vaccination, and subsequently, 5-10 seconds after va"ccination vaccination the patient fainted. The patient''''s patient''s mother caught her so that she did not fall and incur any additional injury. The patient sought unspecified medical attention. It took 5-10 minutes for the patient to fully recover, and then she was able to lea leave the office. Additional information has been requested. This is one of two reports received from the same source.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284581&WAYBACKHISTORY=ON


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