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This is VAERS ID 391167

History of Changes from the VAERS Wayback Machine

First Appeared on 7/31/2010

VAERS ID: 391167
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-06-21
Entered:2010-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Tachycardia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1006USA02403

Write-up:Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route, and lot# not reported). On an unspecified date the patient experienced tachycardia while going through the GARDASIL series and was hospitalized. The patient''s tachycardia persisted. Tachycardia was considered to be disabling by the reporter. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 391167 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-06-21
Entered:2010-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Tachycardia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1006USA02403

Write-up:Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route, and lot# not reported). On an unspecified date the patient experienced tachycardia while going through the GARDASIL series and was hospitalized. The patient''s tachycardia persisted. Tachycardia was considered to be disabling by the reporter. Additional information has been requested.


Changed on 4/14/2017

VAERS ID: 391167 Before After
Age:14.0
Gender:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-06-21
Entered:2010-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Tachycardia

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? Yes
Hospitalized? Yes, days: 0     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES1006USA02403

Write-up:Information has been received from a physician concerning a 14 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (dose, route, and lot# not reported). On an unspecified date the patient experienced tachycardia while going through the GARDASIL series and was hospitalized. The patient''s tachycardia persisted. Tachycardia was considered to be disabling by the reporter. Additional information has been requested.


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