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This is VAERS ID 284865

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

VAERS ID: 284865
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-07-02
Onset:2007-07-02
Submitted:2007-07-06
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0716U / 1 RA / SC

Administered by: Private      Purchased by: Unknown
Symptoms: Dizziness, Hyperhidrosis, Pallor

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

Write-up:Pt appeared very pale and diaphoretic /"feel like I''''m going to pass out/"-occurred 10 min after injection. VSS. Rested on side x 15 min and observed for total of 30 min.


Changed on 12/8/2009

VAERS ID: 284865 Before After
Age:11.0
Gender:Female
Location:Pennsylvania
Vaccinated:2007-07-02
Onset:2007-07-02
Submitted:2007-07-06
Entered:2007-07-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0525U / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 0716U / 1 RA / SC

Administered by: Private      Purchased by: Unknown Private
Symptoms: Dizziness, Hyperhidrosis, Pallor

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

Write-up:Pt appeared very pale and diaphoretic /"feel "feel like I''''m I''m going to pass out/"-occurred out"-occurred 10 min after injection. VSS. Rested on side x 15 min and observed for total of 30 min.


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Link To This Search Result:

http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=284865&WAYBACKHISTORY=ON


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