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Found 331 cases where Vaccine is HPV4 and Symptom is Death

Case Details

This is page 34 out of 34

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VAERS ID: 850365 (history)  
Form: Version 2.0  
Age: 9.0  
Sex: Female  
Location: Foreign  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2019-12-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK - / -
HPVX: HPV (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 0000-00-00
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: BR0095075131911BRA011738

Write-up: a 9-year old girl that died after 11 days of the vaccination; manufacturer origin unknown; This spontaneous report was received from a physician via companies referring to a 9 years old female patient. Information about medical history, concurrent conditions and concomitant therapies was not provided. On an unknown date, the patient was vaccinated with quadrivalent human papillomavirus (types 6,11,16,18) recomb. Vaccine (GARDASIL) or hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (manufacturer unknown) (dose, route, lot # and expiration date were not provided) for prophylaxis. On an unknown date, the patient died after 11 days of the vaccination. It was unknown if the autopsy was done. The causality assessment was not provided. The case is cross referenced to the case 1911BRA011806 due to receive from the same reporter.; Sender''s Comments: US-009507513-1911BRA011806:


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