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This is VAERS ID 308192

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 308192
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Information has been received from a physician concerning an approximately 13 year old female who /"a few years ago/" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further infor"mation was provided. The patient''''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 12/8/2009

VAERS ID: 308192 Before After
VAERS Form:
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Unknown Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': (blank) WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who /"a "a few years ago/" ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further infor"mation information was provided. The patient''''s patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 9/14/2017

VAERS ID: 308192 Before After
VAERS Form:(blank) 1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 2/14/2018

VAERS ID: 308192 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 6/14/2018

VAERS ID: 308192 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 8/14/2018

VAERS ID: 308192 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).


Changed on 9/14/2018

VAERS ID: 308192 Before After
VAERS Form:1
Age:13.0
Gender:Female
Location:Ohio
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2008-03-07
Entered:2008-03-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0708USA01229

Write-up: Information has been received from a physician concerning an approximately 13 year old female who "a few years ago" in approximately 2004 was vaccinated with a dose of RECOMBIVAX HB. Subsequently the patient fainted after vaccination. No further information was provided. The patient''s outcome was not reported. Additional information is not expected. The patient had a similar experience after vaccination with GARDASIL (MSD) (WAES # 0706USA05225).

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=308192&WAYBACKHISTORY=ON


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