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This is VAERS ID 350666

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 350666
VAERS Form:
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 9/14/2017

VAERS ID: 350666 Before After
VAERS Form:(blank) 1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 2/14/2018

VAERS ID: 350666 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 6/14/2018

VAERS ID: 350666 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 8/14/2018

VAERS ID: 350666 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 9/14/2018

VAERS ID: 350666 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.


Changed on 10/14/2018

VAERS ID: 350666 Before After
VAERS Form:1
Age:
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-07-01
Entered:2009-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
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': WAES0906USA05296

Write-up: Information has been received from a physician concerning his/her daughter''s co-worker''s daughter who on an unknown date was vaccinated with GARDASIL. It was reported that the patient died after receiving a dose of GARDASIL. The cause of death was not reported. Attempts to verify the existence of an identifiable patient and reporter have been unsuccessful. No further information is available.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=350666&WAYBACKHISTORY=ON


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