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This is VAERS ID 286841

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 286841
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-08-03
Entered:2007-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Lethargy, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707AUS00227

Write-up:Information was obtained on request by the Company from the agency via a Public Case Details Form and a Case Line Listing concerning a 16 year old female who on 17-MAY-2007 was vaccinated with Gardasil. On 17-MAY-2007 after vaccination with Gardasil, the patient experienced dizziness, malaise, lethargy and acute nausea which persisted more than 12 hours later. At the time of reporting to the agency on 17-MAY-2007, the outcome of dizziness, malaise, lethargy and acute nausea were unknown. The agency considered that dizziness, malaise, lethargy and acute nausea were possibly related to therapy with Gardasil. The original reporting source was not provided. Dizziness, malaise, lethargy and acute nausea were considered to be disabling by the agency. Additional information is not expected.


Changed on 1/5/2010

VAERS ID: 286841 Before After
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-08-03
Entered:2007-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Lethargy, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707AUS00227

Write-up:Information was obtained on request by the Company from the agency via a Public Case Details Form and a Case Line Listing concerning a 16 year old female who on 17-MAY-2007 was vaccinated with Gardasil. On 17-MAY-2007 after vaccination with Gardasil, the patient experienced dizziness, malaise, lethargy and acute nausea which persisted more than 12 hours later. At the time of reporting to the agency on 17-MAY-2007, the outcome of dizziness, malaise, lethargy and acute nausea were unknown. The agency considered that dizziness, malaise, lethargy and acute nausea were possibly related to therapy with Gardasil. The original reporting source was not provided. Dizziness, malaise, lethargy and acute nausea were considered to be disabling by the agency. Additional information is not expected.


Changed on 6/14/2014

VAERS ID: 286841 Before After
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-08-03
Entered:2007-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Lethargy, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707AUS00227

Write-up:Information was obtained on request by the Company from the agency via a Public Case Details Form and a Case Line Listing concerning a 16 year old female who on 17-MAY-2007 was vaccinated with Gardasil. On 17-MAY-2007 after vaccination with Gardasil, the patient experienced dizziness, malaise, lethargy and acute nausea which persisted more than 12 hours later. At the time of reporting to the agency on 17-MAY-2007, the outcome of dizziness, malaise, lethargy and acute nausea were unknown. The agency considered that dizziness, malaise, lethargy and acute nausea were possibly related to therapy with Gardasil. The original reporting source was not provided. Dizziness, malaise, lethargy and acute nausea were considered to be disabling by the agency. Additional information is not expected.


Changed on 5/14/2017

VAERS ID: 286841 Before After
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2007-05-17
Onset:2007-05-17
Submitted:2007-08-03
Entered:2007-08-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Lethargy, Malaise, Nausea

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0707AUS00227

Write-up:Information was obtained on request by the Company from the agency via a Public Case Details Form and a Case Line Listing concerning a 16 year old female who on 17-MAY-2007 was vaccinated with Gardasil. On 17-MAY-2007 after vaccination with Gardasil, the patient experienced dizziness, malaise, lethargy and acute nausea which persisted more than 12 hours later. At the time of reporting to the agency on 17-MAY-2007, the outcome of dizziness, malaise, lethargy and acute nausea were unknown. The agency considered that dizziness, malaise, lethargy and acute nausea were possibly related to therapy with Gardasil. The original reporting source was not provided. Dizziness, malaise, lethargy and acute nausea were considered to be disabling by the agency. Additional information is not expected.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=286841&WAYBACKHISTORY=ON


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