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This is VAERS ID 316983
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| VAERS ID: | 316983 | Vaccinated: | 2008-05-28 | | Age: | 17.0 | Onset: | 2008-06-12, Days after vaccination: 15 | | Gender: | Female | Submitted: | 2008-06-16, Days after onset: 4 | | Location: | New Hampshire | Entered: | 2008-06-23, Days after submission: 7 | |
| Life Threatening Illness? No |
Died? Yes
Date died: 2008-06-12
Days after onset: 0 |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: | | Diagnostic Lab Data: | | Previous Vaccinations: | | Other Medications: | | Preexisting Conditions: Seizures PMH: 'problems w/alcohol'. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 0928U | 0 | UN | LA | |
| Administered by: Private Purchased by: Other | | Symptoms: Convulsion, Cyanosis, Death, Mydriasis, Pallor, Pulmonary oedema, Pupil fixed, Unresponsive to stimuli, Urinary incontinence | | Write-up: Death 9/9/08 Death certificate states COD as idiopathic seizure disorder. 8/5/08 Reviewed ER medical records of 6/12/2008. Records reveal patient found unresponsive, prone on her bed when parent went to awake for school. Last seen at bedtime. Pupils fixed & dilated, cyanotic & pale, incontinent of urine, developed pulmonary edema during resuscitation. Unable to resuscitate. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=316983
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