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This is VAERS ID 296062

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

296062
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-11-02
Onset:2007-11-02
Submitted:2007-11-07
Entered:2007-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Blindness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up:Information has been received from a registered nurse concerning a 16 year old female patient, who on 02-NOV-2007 was vaccinated with the first dose of Gardasil (lot # not provided). On 02-NOV-2007, following the vaccination and while the patient was chee"rleading, she developed blindness and was unable to see anything./" She was taken to the hospital via ambulance, but it was unknown if she was admitted. At the time of this report, the outcome of the event was unknown. The nurse considered developed blind


Changed on 12/8/2009

296062 Before After
VAERS Form:
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-11-02
Onset:2007-11-02
Submitted:2007-11-07
Entered:2007-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Blindness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0711USA00840

Write-up:Information has been received from a registered nurse concerning a 16 year old female patient, who on 02-NOV-2007 was vaccinated with the first dose of Gardasil (lot # not provided). On 02-NOV-2007, following the vaccination and while the patient was chee"rleading, cheerleading, she developed blindness and was unable to see anything./" anything." She was taken to the hospital via ambulance, but it was unknown if she was admitted. At the time of this report, the outcome of the event was unknown. The nurse considered developed blind blindness to be disabling/incapacitating. Additional information has been requested.


Changed on 9/14/2017

296062 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Unknown
Vaccinated:2007-11-02
Onset:2007-11-02
Submitted:2007-11-07
Entered:2007-11-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Blindness

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? Yes
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0711USA00840

Write-up:Information has been received from a registered nurse concerning a 16 year old female patient, who on 02-NOV-2007 was vaccinated with the first dose of Gardasil (lot # not provided). On 02-NOV-2007, following the vaccination and while the patient was cheerleading, she developed blindness and was unable to see anything." She was taken to the hospital via ambulance, but it was unknown if she was admitted. At the time of this report, the outcome of the event was unknown. The nurse considered developed blindness to be disabling/incapacitating. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=296062&WAYBACKHISTORY=ON


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