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This is VAERS ID 324002

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2008

VAERS ID: 324002
VAERS Form:
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Circulatory collapse, Dehydration, Diabetic ketoacidosis, Laboratory test abnormal, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 12/8/2009

VAERS ID: 324002 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Circulatory collapse, Dehydration, Diabetic ketoacidosis, Laboratory test abnormal, Pulmonary embolism, Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 4/14/2017

VAERS ID: 324002 Before After
VAERS Form:
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 2 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Circulatory collapse, Dehydration, Diabetic ketoacidosis, Laboratory test abnormal, Pulmonary embolism, Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 9/14/2017

VAERS ID: 324002 Before After
VAERS Form:(blank) 1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 2 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 2/14/2018

VAERS ID: 324002 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 6/14/2018

VAERS ID: 324002 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 8/14/2018

VAERS ID: 324002 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 9/14/2018

VAERS ID: 324002 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

Changed on 10/14/2018

VAERS ID: 324002 Before After
VAERS Form:1
Age:16.0
Sex:Female
Location:Ohio
Vaccinated:2008-02-26
Onset:2008-03-12
Submitted:2008-09-03
Entered:2008-09-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 1266U / 3 RA / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden death, Autopsy

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-03-12
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: none
Current Illness: none noted
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: Full Autopsy done. Immediate cause of death was massive pulmonary embolus. Secondary was Type 1 Diabetes (previously undiagnosed). Vitreous Humor glucose was 767 9/4/08-records received- Vitreous glucose 767.
CDC 'Split Type':

Write-up: Sudden death occured on 3/12/2008. 9/4/08-records received-Cause of Death:cardiovascular collapse as a consequence of pulmonary emboli, dehydration and diabetic ketacidosis.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=324002&WAYBACKHISTORY=ON


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