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This is VAERS ID 299377

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 299377
VAERS Form:
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 0 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 9/14/2017

VAERS ID: 299377 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 0 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 2/14/2018

VAERS ID: 299377 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 6/14/2018

VAERS ID: 299377 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 8/14/2018

VAERS ID: 299377 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 9/14/2018

VAERS ID: 299377 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.


Changed on 10/14/2018

VAERS ID: 299377 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Foreign
Vaccinated:2007-09-19
Onset:2007-10-05
Submitted:2007-12-11
Entered:2007-12-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1475F / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Bronchitis, Death, Diarrhoea, Photophobia

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2007-10-12
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0712USA01347

Write-up: Information has been received from a gynecologist concerning a 19 year old female with no previous medical history reported, who on 19-SEP-2007 was vaccinated (route and site not reported) with the 1st dose of Gardasil (Batch# NF37120, lot#1475F). On the morning of 12-OCT-2007, the patient was found dead in her bed. One week prior to death the female suffered from diarrhea, treatment without antibiotics. The patient also developed light sensitivity. The evening before the patient died she was out with a girlfriend until 3:00 am in the morning. The reporting physician excluded any drug misuse, as she knew the female as a sportive young woman. Contraception was stopped 3 months before vaccination. No reason for the death was detected in autopsy. The only finding in the autopsy was mild bronchitis and mucus. The reporting physician excluded any connection between vaccination and death. Other business partners numbers include E2007-08849(0). Additional information is not expected.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=299377&WAYBACKHISTORY=ON


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