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This is VAERS ID 305606
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| VAERS ID: | 305606 | Vaccinated: | 2008-02-20 | | Age: | 17.0 | Onset: | 2008-02-22, Days after vaccination: 2 | | Gender: | Female | Submitted: | 2008-02-25, Days after onset: 3 | | Location: | New York | Entered: | 2008-02-25, Days after submission: 0 | |
| Life Threatening Illness? No |
Died? Yes
Date died: 2008-02-22
Days after onset: 0 |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: Yasmin daily birth control | | Preexisting Conditions: No known drug allergies | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 1968U | 2 | IM | LA | |
| Administered by: Private Purchased by: Other | | Symptoms: Arrhythmia, Electrocardiogram QT prolonged, Fall, Laceration, Sudden death | | Write-up: Sudden unattended death. Autopsy results pending (inconclusive 2/25/08). 2/26/08 Reviewed pcp medical records & vax records which reveal patient received HPV#1 0469U 7/16/07 & HPV#2 09300 9/17/07. In 11/20/07, noted to have left sided head pain intermittently along with lightheadedness; dx w/tension HA. HPV#3 was scheduled for 1/16/2008 but postponed due to no parental signature. Returned to office 1/24/08 for left wrist pain from cheerleading injury s/p ER vs for same on 1/19/08. Patient last seen in office by nurse only on 2/20 for HPV #3, no notes for visit. PMH: kicked in face by horse in past (undated) & had contusion on cheek; acne vulgaris, started Yasmin & topicals 4/07 w/improvement after multiple other drug failures; 1/19/08 wrist contusion from cheerleading. 5/2/08 Autopsy report states COD as undetermined. Autopsy states patient had intermittent HAs x 2 mo & had been on BCP x 1 year for acne. Found w/small facial laceration from striking flower pot when fell. The autopsy was neg for all findings. Scene indicated sudden death from collapse & fall. Suspected long QT interval syndrome w/fatal arrhythmia rather than new onset seizure in patient w/no history of either. Suggested testing family members. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=305606
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