National Vaccine
Information Center

Your Health. Your Family. Your Choice.
MedAlerts Home
  Read the MedAlerts Blog Subscribe to the MedAlerts Blog 

This is VAERS ID 297528

Case Details

VAERS ID:297528 (history)  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? Yes
Died? Yes
   Date died: 2007-10-06
   Days after onset: 0
Permanent Disability? No
Recovered? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: Unknown
Diagnostic Lab Data: Unknown
CDC Split Type: WAES0711USA02619
Vaccination
Manufacturer
Lot
Dose
Route
Site
HPV4: HPV (GARDASIL)MERCK & CO. INC.  UNUN
Administered by: Unknown     Purchased by: Unknown
Symptoms: Death
SMQs:
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.

New Search

Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=297528


Copyright © 2017 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166