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This is VAERS ID 345220

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

345220
VAERS Form:
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2009-03-06
Onset:2009-03-06
Submitted:2009-04-14
Entered:2009-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA02323

Write-up:Information has been received from a physician concerning a 15 year old female who on 06-MAR-2009 was vaccinated with GARDASIL IM 0.5ml. Concomitant therapy included a recent shot of DEPO-PROVERA. The patient experienced dizziness on 06-MAR-2007, 07-MAR-2009 and 09-MAR-2009. The physician did not say if there was any dizziness occurring on 08-MAR-2009. The patient "had to leave school". The patient sought unspecified medical attention. Dizziness was considered to be disabling. Additional information has been requested.


Changed on 9/14/2017

345220 Before After
VAERS Form:(blank) 1
Age:15.0
Gender:Female
Location:Texas
Vaccinated:2009-03-06
Onset:2009-03-06
Submitted:2009-04-14
Entered:2009-04-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Dizziness, Activities of daily living impaired

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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:
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903USA02323

Write-up:Information has been received from a physician concerning a 15 year old female who on 06-MAR-2009 was vaccinated with GARDASIL IM 0.5ml. Concomitant therapy included a recent shot of DEPO-PROVERA. The patient experienced dizziness on 06-MAR-2007, 07-MAR-2009 and 09-MAR-2009. The physician did not say if there was any dizziness occurring on 08-MAR-2009. The patient "had to leave school". The patient sought unspecified medical attention. Dizziness was considered to be disabling. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=345220&WAYBACKHISTORY=ON


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