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This is VAERS ID 374780

History of Changes from the VAERS Wayback Machine

First Appeared on 1/5/2010

VAERS ID: 374780
VAERS Form:
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 9/14/2017

VAERS ID: 374780 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 2/14/2018

VAERS ID: 374780 Before After
VAERS Form:1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 6/14/2018

VAERS ID: 374780 Before After
VAERS Form:1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 8/14/2018

VAERS ID: 374780 Before After
VAERS Form:1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 9/14/2018

VAERS ID: 374780 Before After
VAERS Form:1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.


Changed on 10/14/2018

VAERS ID: 374780 Before After
VAERS Form:1
Age:14.0
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2009-12-21
Entered:2009-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, Autoimmune disorder

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': WAES0912USA02326

Write-up: Information was reported in a newspaper article that a 14 year old female patient who on an unspecified date was vaccinated with a dose of GARDASIL vaccine (lot number, date, route and site not reported). Subsequently the patient experienced auto-immune symptoms and died 21 months later. The article also discussed the multiple sclerosis of other 5 patient while on therapy with GARDASIL vaccine (WAES 0912USA01664, WAES 0912USA02322, WAES 0912USA02323, WAES 0912USA02324, and WAES 0912USA02325, WAES 0912USA02639, WAES 0912USA02640, WAES 0912USA02641, WAES 0912USA02642 and WAES 0912USA02643. No further information is available.

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