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This is VAERS ID 542913

History of Changes from the VAERS Wayback Machine

First Appeared on 1/14/2015

VAERS ID: 542913
Age:13.0
Gender:Female
Location:Foreign
Vaccinated:2014-03-29
Onset:2014-03-29
Submitted:2014-09-08
Entered:2014-09-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. J011180 / 0 UN / IM

Administered by: Other      Purchased by: Other
Symptoms: Syncope

Life Threatening? No
Died? No
Permanent Disability? Yes
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No other medications
Current Illness: Immunisation; Syncope
Preexisting Conditions:
Diagnostic Lab Data:
CDC 'Split Type': WAES1409BRA002927

Write-up:This spontaneous report was received from a Physician refers to a 12 year old female patient who experienced syncope. On 29-MAR-2014, the patient was vaccinated with GARDASIL. On 29-MAR-2014 the patient experienced Syncope fifteen (15) minutes after Vaccination. The Outcome of adverse event Syncope was reported as Recovered. The relationship of Syncope with GARDASIL is Unknown. Additional information is not expected.


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