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This is VAERS ID 317757
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| VAERS ID: | 317757 | Vaccinated: | 2008-06-13 | | Age: | 15.0 | Onset: | 2008-06-15, Days after vaccination: 2 | | Gender: | Female | Submitted: | 2008-06-27, Days after onset: 12 | | Location: | Indiana | Entered: | 2008-06-27, Days after submission: 0 | |
| Life Threatening Illness? No |
Died? Yes
Date died: 2008-06-15
Days after onset: 0 |
| Disability? No |
| Recovered? No | | ER or Doctor Visit? No |
| Hospitalized? No | | Current Illness: none | | Diagnostic Lab Data: toxicology and other test came back negative expect trace amount of nicotine (father heavy smoker) | | Previous Vaccinations: | | Other Medications: none | | Preexisting Conditions: overweight PMH: recurrent colds/sore throat, neg strep. | | CDC 'Split Type': | |
| Vaccination | Manufacturer | Lot | Dose | Route | Site | | HPV4 | MERCK & CO. INC. | 1447U | 0 | UN | LA | |
| Administered by: Unknown Purchased by: Unknown | | Symptoms: Arrhythmia, Cardiomegaly, Cardiomyopathy, Cyanosis, Death, Left ventricular hypertrophy, Muscle rigidity, Obesity, Passive smoking, Pulmonary oedema, Splenomegaly, Toxicologic test normal, Unresponsive to stimuli | | Write-up: Death -coroner says enlarged heart & enlarge spleen 7/4/08 Reviewed PCP medical records of 1999-6/2008 which included vax record. In 8/2007, c/o of tiredness & loss of appetite. Monospot (-). On day of vax, patient was well, weight noted as 237, otherwise no complaints. 7/8/08 Autopsy report states COD as arrhythmia due to cardiomyopathy.States anatomic findings of obesity, pulmonary edema, mild & left ventricular hypertrophy w/myocardial nuclear enlargement. Patient had been found non-responsive by family. EMS found patient cyanotic w/rigor & no further resuscitation was performed. Family reported patient had been well earlier in the evening. Albuterol inhaler was found at scene but no suspicious features at scene. |
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Link To This Search Result:
http://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=317757
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