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This is VAERS ID 343612

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 343612
VAERS Form:
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 343612 Before After
VAERS Form:(blank) 1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 343612 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 343612 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 343612 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 343612 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 343612 Before After
VAERS Form:1
Age:23.0
Sex:Female
Location:Foreign
Vaccinated:2008-11-01
Onset:2008-11-26
Submitted:2009-04-06
Entered:2009-04-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2008-11-26
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: hormonal contraceptives (unspecified)
Current Illness: Contraception
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Unknown
CDC 'Split Type': WAES0903AUS00084

Write-up: Information has been received from a physician, via agency, as part of a business agreement (manufacturer control No. GARD 2009 03 27 LS2), concerning a 23 year old female who in November 2008 was vaccinated with GARDASIL. Concomitant therapy included hormonal contraceptives (unspecified) in the form of a vaginal contraceptive ring. On 26-NOV-2008, a few days after vaccination with GARDASIL the patient died suddenly. The cause of death was attributed to hypertrophic cardiomyopathy. It was reported that an autopsy was performed (report not provided). A few days prior to her death, the patient had visited her physician to discuss contraception. She was not taking any other drugs other than contraception and had no underlying conditions or hereditary conditions. The reporter considered that hypertrophic cardiomyopathy was not related to therapy with GARDASIL, stating "I''m sure it was not directly related". Additional information has been requested.

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