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This is VAERS ID 348842

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

348842
VAERS Form:
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2009-03-12
Onset:2009-03-12
Submitted:2009-06-09
Entered:2009-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0073X / 0 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Vomiting

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0906USA00763

Write-up:Initial information has been received from a health authority (HA ref. DK-DKMA-20091250). It was reported that a 16 year old female patient who on 12-MAR-2009 was vaccinated with the first dose of GARDASIL IM left arm (batch # NJ50800, lot # 0773X). On the same day the patient experienced dizziness, nausea and vomiting a few times. Dizziness was initially interpreted as vestibularisneuritis by an ear-nose-throat specialist (date not reported). MR-scan was ordered (result not reported). At the time of report the patient had not recovered. Other business partner numbers include: E2009-04644. Additional information has been requested.


Changed on 9/14/2017

348842 Before After
VAERS Form:(blank) 1
Age:16.0
Gender:Female
Location:Foreign
Vaccinated:2009-03-12
Onset:2009-03-12
Submitted:2009-06-09
Entered:2009-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0073X / 0 1 LA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Dizziness, Nausea, Vomiting

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: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0906USA00763

Write-up:Initial information has been received from a health authority (HA ref. DK-DKMA-20091250). It was reported that a 16 year old female patient who on 12-MAR-2009 was vaccinated with the first dose of GARDASIL IM left arm (batch # NJ50800, lot # 0773X). On the same day the patient experienced dizziness, nausea and vomiting a few times. Dizziness was initially interpreted as vestibularisneuritis by an ear-nose-throat specialist (date not reported). MR-scan was ordered (result not reported). At the time of report the patient had not recovered. Other business partner numbers include: E2009-04644. Additional information has been requested.


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http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=348842&WAYBACKHISTORY=ON


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