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This is VAERS ID 284651

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

284651
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 RA / UN

Administered by: Private      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Andrea has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Andrea passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''''t find it on the drop-down box bel"ow.


Changed on 12/8/2009

284651 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 RA / UN

Administered by: Private      Purchased by: Unknown Private
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Andrea has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Andrea passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''''t couldn''t find it on the drop-down box bel"ow. below.


Changed on 1/7/2013

284651 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 RA / UN

Administered by: Private Unknown      Purchased by: Private Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Andrea Patient has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Andrea Patient passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''t find it on the drop-down box below.


Changed on 6/14/2014

284651 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Patient has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Patient passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''t find it on the drop-down box below.


Changed on 3/14/2015

284651 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Patient has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Patient passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''t find it on the drop-down box below.


Changed on 9/14/2017

284651 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-05-10
Onset:2007-05-10
Submitted:2007-07-16
Entered:2007-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0388U / 0 1 LA / UN
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER 0368U / 1 2 RA / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Loss of consciousness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: NA
Current Illness: No
Preexisting Conditions: Patient has a VSD with no restrictions that has never caused her any problems.
Allergies:
Diagnostic Lab Data: NA
CDC 'Split Type':

Write-up:Patient passed out on our way out of the DR office. She did come to pretty quickly without assistance. She has not had this happen before after shots. She also had the Varinox #2 (Merck/0368U) shot that day - I couldn''t find it on the drop-down box below.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284651&WAYBACKHISTORY=ON


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