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This is VAERS ID 387595

History of Changes from the VAERS Wayback Machine

First Appeared on 6/2/2010

387595
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2008-04-04
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Autonomic nervous system imbalance, Chest pain, Dizziness, Dyspnoea, Fatigue, Nausea, Pharyngitis, Syncope, Oropharyngeal pain

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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1005USA01078

Write-up:Information was obtained on a request by the Company from the agency via a Public Case Detail concerning a 14 year old female patient who on 04-APR-2008 was vaccinated with a dose of GARDASIL (lot number not reported). Subsequently the patient experienced fatigue, nausea, dizziness, antonomic instability, fainting, breathlessness, pain in stomach, chest, sore throat and recurrent throat infections. The patient was graded return to activity. At the time of the report, the patient had not yet recovered. The reporter felt that fatigue, dizziness, pharyngitis and syncope were possibly related to GARDASIL. Fatigue, dizziness, pharyngitis and syncope were considered to be disabling. The original reporting source was not provided. Additional information is not expected.


Changed on 6/14/2014

387595 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2008-04-04
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Autonomic nervous system imbalance, Chest pain, Dizziness, Dyspnoea, Fatigue, Nausea, Pharyngitis, Syncope, Oropharyngeal pain

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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1005USA01078

Write-up:Information was obtained on a request by the Company from the agency via a Public Case Detail concerning a 14 year old female patient who on 04-APR-2008 was vaccinated with a dose of GARDASIL (lot number not reported). Subsequently the patient experienced fatigue, nausea, dizziness, antonomic instability, fainting, breathlessness, pain in stomach, chest, sore throat and recurrent throat infections. The patient was graded return to activity. At the time of the report, the patient had not yet recovered. The reporter felt that fatigue, dizziness, pharyngitis and syncope were possibly related to GARDASIL. Fatigue, dizziness, pharyngitis and syncope were considered to be disabling. The original reporting source was not provided. Additional information is not expected.


Changed on 4/14/2017

387595 Before After
VAERS Form:
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2008-04-04
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Autonomic nervous system imbalance, Chest pain, Dizziness, Dyspnoea, Fatigue, Nausea, Pharyngitis, Syncope, Oropharyngeal pain

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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1005USA01078

Write-up:Information was obtained on a request by the Company from the agency via a Public Case Detail concerning a 14 year old female patient who on 04-APR-2008 was vaccinated with a dose of GARDASIL (lot number not reported). Subsequently the patient experienced fatigue, nausea, dizziness, antonomic instability, fainting, breathlessness, pain in stomach, chest, sore throat and recurrent throat infections. The patient was graded return to activity. At the time of the report, the patient had not yet recovered. The reporter felt that fatigue, dizziness, pharyngitis and syncope were possibly related to GARDASIL. Fatigue, dizziness, pharyngitis and syncope were considered to be disabling. The original reporting source was not provided. Additional information is not expected.


Changed on 9/14/2017

387595 Before After
VAERS Form:(blank) 1
Age:14.0
Gender:Female
Location:Foreign
Vaccinated:2008-04-04
Onset:0000-00-00
Submitted:2010-05-14
Entered:2010-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Abdominal pain upper, Autonomic nervous system imbalance, Chest pain, Dizziness, Dyspnoea, Fatigue, Nausea, Pharyngitis, Syncope, Oropharyngeal pain

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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1005USA01078

Write-up:Information was obtained on a request by the Company from the agency via a Public Case Detail concerning a 14 year old female patient who on 04-APR-2008 was vaccinated with a dose of GARDASIL (lot number not reported). Subsequently the patient experienced fatigue, nausea, dizziness, antonomic instability, fainting, breathlessness, pain in stomach, chest, sore throat and recurrent throat infections. The patient was graded return to activity. At the time of the report, the patient had not yet recovered. The reporter felt that fatigue, dizziness, pharyngitis and syncope were possibly related to GARDASIL. Fatigue, dizziness, pharyngitis and syncope were considered to be disabling. The original reporting source was not provided. Additional information is not expected.


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