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This is VAERS ID 297528

Event Details Report
VAERS ID:297528  Vaccinated:2007-09-15
Age:12.0  Onset:2007-10-06, Days after vaccination: 21
Gender:Female  Submitted:2007-11-20, Days after onset: 45
Location:Unknown  Entered:2007-11-23, Days after submission: 3
Life Threatening Illness? Yes
Died? Yes
   Date died: 2007-10-06
   Days after onset: 0
Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Current Illness:
Diagnostic Lab Data: Unknown
Previous Vaccinations:
Other Medications: Unknown
Preexisting Conditions: Unknown
CDC 'Split Type': WAES0711USA02619
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4MERCK & CO. INC.  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Death
Write-up: Information has been received from a physician's assistant concerning a 12 year old female with no reported medical history who on approximately 15-SEP-2007 was vaccinated with Gardasil. It was noted that this was not where the vaccine was administered, rather they were the patient's family physician. On 06-OCT-2007 the patient died in her sleep. No further information was provided. No lot number was given. Additional information has been requested.

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