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Found 6894 cases where Vaccine is HPV4 and Serious

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VAERS ID: 279093 (history)  
Form: Version 1.0  
Age: 21.0  
Sex: Female  
Location: New York  
Vaccinated:2007-04-28
Onset:2007-05-02
   Days after vaccination:4
Submitted: 2007-05-18
   Days after onset:16
Entered: 2007-05-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 LA / IM

Administered by: Other       Purchased by: Other
Symptoms: Computerised tomogram normal, Culture stool, Dizziness, Full blood count normal, Haematochezia, Headache, Nuclear magnetic resonance imaging normal, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Anticholinergic syndrome (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Haemorrhagic ovarian cyst; Irritable bowel syndrome; Distress gastrointestinal; Anxiety
Allergies:
Diagnostic Lab Data: head computed axial 05/06/07 - normal, magnetic resonance 05/06/07 - normal, complete blood cell 05/06/07 - normal, stool culture 05/06/07 - trace amount of blood
CDC Split Type: WAES0705USA02556

Write-up: Information has been received from a physician concerning a 21 year old female patient with 2.4 centimeter haemorrhagic ovarian cyst, possible irritable bowel syndrome, gastrointestinal symptoms and anxiety. On 28-APR-2007 she was vaccinated IM In the left arm deltoid with a first dose of Gardasil. 3 days post vaccination on 02-MAY-2007 the patient experienced headache, dizziness, blurred vision and "vomiting all the time." On 06-MAY-2007 the patient went to emergency room (ER) and was seen but not hospitalized. On 06-MAY-2007 patient was hospitalized with unknown diagnosis. All types of test were performed; head computed axial tomography (CT scan of the brain), complete blood cell count (CBC), magnetic resonance imaging (MRI) with normal results. Stool culture test was taken and there was a trace amount of blood. She was treated with intravenous (IV) fluids. On 09-MAY-2007 she was released from the hospital. She was still dizzy. The outcome was unknown. Additional information has been requested.


VAERS ID: 279096 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-05-01
Onset:2007-05-01
   Days after vaccination:0
Submitted: 2007-05-18
   Days after onset:17
Entered: 2007-05-21
   Days after submission:3
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

Administered by: Unknown       Purchased by: Unknown
Symptoms: Cardiomyopathy, Intensive care, Intubation, Pneumonia
SMQs:, Angioedema (broad), Cardiomyopathy (narrow), Eosinophilic pneumonia (broad), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 8 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown Records received 6/27/07-PMX: Bronchitis.
Allergies:
Diagnostic Lab Data: Unknown; Records received 6/27/07-Abnormal pap smear. Echo Doppler. No evidence of inter-atrial septal shunt. Mild regurgitation of pulmonic valve. Global hypokinesis of left ventrilce worse along the anterior septal walls. MV inflow pattern consistent with abnormal relaxation and diastolic dysfunction. Focal thickening of mitral valve. CXR bilateral pneumonia. ABG pO2 66 while on Oxygen.
CDC Split Type: WAES0705USA03117

Write-up: Information has been received from a physician concerning a 17 year old female who in approximately May 2007 was vaccinated with Gardasil. The physician reported that the patient was rushed to the hospital the day following vaccination with Gardasil. The patient was admitted to the intensive care unit and was still there as of 16-MAY-2007. The patient was diagnosed with cardiomyopathy and pneumonia, which required ICU management and intubation. The physician considered the cardiomyopathy and pneumonia to be life-threatening and other important medical events. Additional information has been requested. 6/27/07-records received from facility for DOS 5/9-5/17/07-DC DX: Acute respiratory syndrome. Disseminated intravascular coagulation. Diastolic dysfunction. Seen in PCP office for shortness of breath and chest pain. Three days prior to admission began to experience tactile fevers and headaches. Became short of breath day she received Gardasil vaccine. Including midsternal chest pain and productive cough. Complaints on admission vomiting and palpitations. Temp 99.9. HR 117. Respirations 60.


VAERS ID: 279109 (history)  
Form: Version 1.0  
Age: 20.0  
Sex: Female  
Location: Arizona  
Vaccinated:2006-12-07
Onset:0000-00-00
Submitted: 2007-05-17
Entered: 2007-05-21
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 3 - / IM

Administered by: Private       Purchased by: Private
Symptoms: Cardiac electrophysiologic study normal, Chest pain, Constipation, Dizziness, Electrocardiogram abnormal, Electrocardiogram normal, Electroencephalogram, Headache, Insomnia, Palpitations, Syncope, Tilt table test, Vision blurred
SMQs:, Torsade de pointes/QT prolongation (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Cardiomyopathy (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 10 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Yasmin
Current Illness: None
Preexisting Conditions: records received 6/20/07-One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward.
Allergies:
Diagnostic Lab Data: EEG, EPS negative, EKG positive, ECG negative, tilt table positive, ARS negative records received 6/20/07-Normal 2D ec ehocardiogram.Normal EEG. CT head normal. s 1/1/10 follow up - syncope, fast heart rate, headaches, fatigue,weak immune system, dizziness, lightheadness; due to the syncope episodes my cardiologist implanted a pacemaker and still being treated for postural orthostatic tachycardia syndrome brought on from vaccine.
CDC Split Type:

Write-up: Dizziness, syncope, headaches, blurred vision, constipation, insomnia, racing heart, chest pain 12/06 to present. Treatment: Florinef, Midrodone, Mestinon 6/7/07-records received from facility for DOS 5/10-5/15/07-Impression:orthostatic intolerance. EEG, somewhat disorganized occipital dominant rhythm. CT head unremarkable. CBC WNL. Echocardiogram normal. Tilt table test with electrophysiologic study no orthostatic hypotension with head-up tile but a prominent tachycardia. Apparent stimulation of A-V nodal pathway showed no evidence of an A-V nodal re-entrant tachycarida. HX of recurrent syncope. Onset of occasional chest pain and a fleeting sensation of palpitations. Without any other symptoms until January of this year. C/O being dizzy a lot. PE WNL except for some palmar hyperhidrosis. 6/20/07-record received fro DOS 1/9-5/29/07. One year history of significant recurrent arrhythmia with heart pounding especially when laying flat or bending forward. No syncope during exercise. Possible mitral valve prolapse. DC DX: from 1/9-1/11/07-Orthostatic paroxysmal tachycardia. DC DX for DOS 3/15-3/20/07-Postural orthostatic tachycardia syndrome. Recurrent syncope. Orthostatic hypotension.


VAERS ID: 279248 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Missouri  
Vaccinated:2007-01-01
Onset:2007-01-01
   Days after vaccination:0
Submitted: 2007-05-21
   Days after onset:139
Entered: 2007-05-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Concussion, Head injury, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02247

Write-up: Information has been received from the physician''s office manager concerning a female who in January 2007, was vaccinated with her first dose of Gardasil. In January 2007, after the patient was vaccinated, she walked to the front of the office and "passed out and hit her head on the floor". The patient was taken by ambulance to the hospital where she was admitted with a possible concussion. The patient outcome was not reported. The reporting office manager considered the event to be an other important medical event. No further information is available.


VAERS ID: 279250 (history)  
Form: Version 1.0  
Age: 23.0  
Sex: Female  
Location: Washington  
Vaccinated:2007-04-19
Onset:2007-04-20
   Days after vaccination:1
Submitted: 2007-05-21
   Days after onset:31
Entered: 2007-05-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0263U / 1 LA / IM

Administered by: Private       Purchased by: Other
Symptoms: Asthma, Condition aggravated, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 0 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: VENTOLINE (ALBUTEROL SULFATE, LORATIDINE D, SINGULAIR
Current Illness: Asthma; Hypersensitivity
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0705USA02873

Write-up: Information has been received from a health professional concerning a 23 year old black/white female receptionist with asthma (diagnosed at the age of 5 year old) and outdoor allergies who on 19-APR-2007 at 01:15 (AM or PM not reported) was vaccinated IM in left arm deltoid with a first dose of Gardasil lot #655849/0263U. Concomitant therapy included montelukast sodium (MSD) loratadine (+) pseudoephedrine sulfate (LORATIDINE D) and albuterol sulfate (VENTOLINE (albuterol sulfate)). On 20-APR-2007, Friday night at 11:00 PM patient woke up with short of breath. Her rescue inhaler did not help so she used her nebulizer. On 21-APR-2007 she used her nebulizer again around 6:30 AM and through out that day 4 to 6x. On 22-APR-2007, Sunday she did 6 nebulizer treatment within one-two hours before being admitted at the hospital. In the hospital she had additional nebulizer treatment (10+) times and steroid injections. Patient stated that this was her worst asthma attack since being diagnosed. Patient recovered. Additional information is not expected.


VAERS ID: 279252 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-04-13
Onset:2007-04-13
   Days after vaccination:0
Submitted: 2007-05-21
   Days after onset:38
Entered: 2007-05-22
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0955F / 1 RA / IM

Administered by: Other       Purchased by: Other
Symptoms: Dysphagia, Dyspnoea, Pallor, Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC Split Type: WAES0705USA03002

Write-up: Information has been received from a nurse practitioner concerning a 15 year old female with no pertinent medical history or history of drug reactions/allergies, who on 13-APR-2007 was vaccinated with the first dose of Gardasil, 0.5 ml, IM, right deltoid (lot # 653978/0955F). There was no concomitant medication. The patient was in the waiting room for 5 to 10 minutes post injection when she experienced loss of coloration and had difficulty breathing and swallowing. The patient felt like her throat was closing up. The patient was administered an EPI (epinephrine) injection and stayed in the office for 45 minutes. The events improved after the epinephrine injection and was considered to have recovered from loss of coloration, difficulty breathing, difficulty swallowing and throat closing up. The nurse practitioner considered the events to be an other important medical events and to be life threatening. Additional information has been requested.


VAERS ID: 279329 (history)  
Form: Version 1.0  
Age: 15.0  
Sex: Female  
Location: Unknown  
Vaccinated:2007-01-03
Onset:2007-02-01
   Days after vaccination:29
Submitted: 2007-05-22
   Days after onset:109
Entered: 2007-05-23
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Epistaxis, Evans syndrome, Eye disorder, Idiopathic thrombocytopenic purpura, Menorrhagia, Transfusion
SMQs:, Haemolytic disorders (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Corneal disorders (broad), Retinal disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None records received 6/6/07-nosebleeds
Allergies:
Diagnostic Lab Data: Unknown. records received 6/6/07-On admission platelets 4, smear showed no blasts, large in size. Reticulocyte mild hypogammaglobulinemia and positive direct Coombs. Trasnfusions of platelets. Bone marrow results were within normal limits with no blasts. Treated with IVIG. Blood cultures no growth. Positive ANA. CMV, Enterovirus, HSV/VZV cultures negative.
CDC Split Type: WAES0705USA02428

Write-up: Information has been received from a physician concerning a 15 year old female with no pertinent medical history or known drug reactions or allergies who on 03-JAN-2007 was vaccinated with Gardasil 0.5 ml injection. In February 2007, the patient experienced heavy menstrual bleeding, nose bleeds and eye problems and was hospitalized for four days (admittance and discharge dates not reported), and while hospitalized was diagnosed with Evans syndrome. The patient needed a blood transfusion. The patient''s Evans syndrome persisted. There was no product quality complaint. Additional information has been requested. 06/06/07-records received from facility for DOS 5/7-5/10/07. DC DX: Evan''s Syndrome, immune thrombocytopenia and anemia. Prolonged episode of epistaxis. HX: Nosebleeds frequently since age of 3 or 4. In last 4 weeks have increased in frequency 6-7 times per day, harder to stop. Prior to admission nosebleed from 21:30 through 9:30 with nausea and bloody emeses. HX of bruising easily. Menses 3 days longer in duration and heavier with clotting and clumps. Petechia on lower extremities, more tired or fatigued. Feels faints if she stands up too quickly. Black out this morning. Fell. Follow up visits 5/17/07: Impression Evan''s Syndrome, Strong family history of autoimmunity. Abnormal labs including positive ANA, low complement.


VAERS ID: 279407 (history)  
Form: Version 1.0  
Age: 16.0  
Sex: Female  
Location: Missouri  
Vaccinated:2007-05-16
Onset:2007-05-18
   Days after vaccination:2
Submitted: 2007-05-23
   Days after onset:5
Entered: 2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0188U / 1 LA / UN
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2225AA / 1 RA / UN

Administered by: Unknown       Purchased by: Unknown
Symptoms: Condition aggravated, Laboratory test, Muscular weakness, Neurological examination, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Guillain-Barre Syndrome diagnosed 2-13-06 Pt. released from Neurologists care in March. 6/21/07-records received-Currently here for a follow up visit because there were concerns if she has a relapse of her GBS which was diagnosed in Frebruary 2006.
Allergies:
Diagnostic Lab Data: We are watching her symptoms to see if they progress into GBS. Labs done and muscle testing and neurological exam performed bye the neurologist. 6/21/07-records received ESR and CRP normal.
CDC Split Type:

Write-up: Pt. Having Symptoms of Guillain-Barre syndrome. Physicians office notified because of pt. hx. of this disease and they did nothing about it just blew us off. I them took her to see her neurologist and he said she should never have received this vaccine. Clinic never gave pt. any info. on vaccine reactions until after vaccine was given Clinic is pt. primary care physician so they are aware of her previous condition of GBS. Pt was having pain in arms and legs first c/o was seen in office by Dr. and told not to worry about it next day experienced weakness in legs and was examined bye her neurologist. 6/21/07-office record received for DOS 5/22/07-Assessment:myalgias, arthralgias, limb pain and fatigue. Suspect this is a vaccine related adverse reaction. Suspect that patient does not have Guillain Barre syndrome. Reflexes normal. No signs of sensory loss in examination. Complained of joint pains, muscle aches, feeling tired and also felt unsteady when she took her antihistamine mediction. Feeling pains very freuently on first few days after injection peaked on weekend subsided since Monday. Currently here for a follow up visit because there were concerns if she has a relapse of her GBS which was diagnosed in Frebruary 2006.


VAERS ID: 279425 (history)  
Form: Version 1.0  
Age: 13.0  
Sex: Female  
Location: California  
Vaccinated:2007-05-16
Onset:2007-05-16
   Days after vaccination:0
Submitted: 2007-05-23
   Days after onset:7
Entered: 2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1447F / 2 LA / IM
MNQ: MENINGOCOCCAL CONJUGATE (MENACTRA) / SANOFI PASTEUR U2158AA / 1 RA / IM

Administered by: Private       Purchased by: Public
Symptoms: Facial paresis, Full blood count, Guillain-Barre syndrome, Lumbar puncture, Muscular weakness
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (narrow), Guillain-Barre syndrome (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Demyelination (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? Yes, 4 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: CBC LP-failed records received 7/25/07-WBC 13.9, neutrophils 79. ESR26 5/28/08-lab reports received-WBC elevated 13.9, neutropohil percentage increased 79, lymphocyte percentage decreased 14. ESR elevated 26. CRPQN increased 1424. LP attempted but unsuccessful. Progress notes do not document that electrodiagnostic tests were performed.
CDC Split Type:

Write-up: Weakness of legs, upper extremity, facial weakness rash all over body - was diagnosed with GB syndrome and hospitalized for IVIG and LP 7/25/07-records received -DX: Guillain Barre. Day before admission 5/18/07-developed macular papular rash on face and headache pain in both legs, shortness of breath. Admitted on 5/19/07- Unsuccessful spinal tap. Treated with IVIG and there was no progressive loss of muscle tone no loss of sensation. Good muscle tone


VAERS ID: 279592 (history)  
Form: Version 1.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 2007-05-24
Entered: 2007-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other       Purchased by: Other
Symptoms: Death, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad)

Life Threatening? Yes
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? Yes
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Allergies:
Diagnostic Lab Data:
CDC Split Type: WAES0705USA01964

Write-up: Information has been received from a licensed visiting nurse via a nurse practitioner. The nurse practitioner was told by a friend that a female patient was vaccinated with Gardasil and two weeks alter developed a blood clot. Subsequently the patient died. The cause of death was from the blood clot. The reporting licensed visiting nurse considered the blood clot to be immediately life-threatening and disabling. Additional information has been requested.


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