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This is VAERS ID 479800

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2013

VAERS ID: 479800
VAERS Form:
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 479800 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 479800 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 479800 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 479800 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 479800 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 479800 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 479800 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 479800 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Texas
Vaccinated:2009-06-16
Onset:0000-00-00
Submitted:2012-12-29
Entered:2012-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Insomnia, Migraine, 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)? Yes
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: ZYRTEC; SINGULAIR; PULMICORT; SYMBICORT; VERAMYST; Doxycycline
Current Illness: Asthma
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': WAES1212USA010600

Write-up: This spontaneous report as received from an office manager refers to a 14 years old female patient with asthma. The patient was vaccinated with 3 doses of GARDASIL (lot# not reported) on 16-JUN-2009, 19-AUG-2009 and 18-DEC-2009, respectively. Concomitant medications included ZYRTEC, SINGULAIR, PULMICORT, SYMBICORT, VERAMYST and doxycycline. Since receiving GARDASIL, the patient had experienced migraines, fainting spells and could not sleep. The patient was hospitalized at some point but there was no information about the hospitalization or the name of the hospital. The patient contacted the physician. The outcome of migraines, fainting spells and could not sleep was reported as not recovered. The relatedness for migraines, fainting spells and could not sleep was unknown for GARDASIL. Additional information has been requested.

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