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This is VAERS ID 341030

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 341030
VAERS Form:
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 341030 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 341030 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 341030 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 341030 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 341030 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 341030 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-03-03
Entered:2009-03-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00
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: Unknown
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0902CAN00119

Write-up: Information has been received from an Agency concerning a 14 year old female who was vaccinated with GARDASIL, lot # not available. Subsequently the patient died. The cause of death was unknown. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=341030&WAYBACKHISTORY=ON


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