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This is VAERS ID 361121

History of Changes from the VAERS Wayback Machine

First Appeared on 12/8/2009

VAERS ID: 361121
VAERS Form:
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 361121 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 361121 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 361121 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 361121 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 361121 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 361121 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-10-15
Entered:2009-10-16
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': WAES0910USA00977

Write-up: Information has been received from a nurse practitioners'' patient who heard on radio that "HPV vaccine killed someone in the country". The cause of death was unknown. The reporter was not sure if the vaccine was GARDASIL or CERVARIX. Attempts are being made to verify the existence of an identifiable patient. Additional information has been requested.

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Link To This Search Result:

https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=361121&WAYBACKHISTORY=ON


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