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This is VAERS ID 396027

History of Changes from the VAERS Wayback Machine

First Appeared on 8/31/2010

VAERS ID: 396027
VAERS Form:
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 6/14/2014

VAERS ID: 396027 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 4/14/2017

VAERS ID: 396027 Before After
VAERS Form:
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 9/14/2017

VAERS ID: 396027 Before After
VAERS Form:(blank) 1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 2/14/2018

VAERS ID: 396027 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 6/14/2018

VAERS ID: 396027 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 8/14/2018

VAERS ID: 396027 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 9/14/2018

VAERS ID: 396027 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.


Changed on 10/14/2018

VAERS ID: 396027 Before After
VAERS Form:1
Age:14.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-08-19
Entered:2010-08-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 2 UN / UN

Administered by: Unknown      Purchased by: Unknown
Symptoms: Sudden 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': WAES1008USA01799

Write-up: Information has been received from a consumer, as part of a marketing research program concerning a 14 year old female who on an unspecified date was vaccinated with the second dose of GARDASIL (Lot # unknown). The consumer reported that the patient who was a friend of her daughter died suddenly 2 weeks after receiving the second dose of GARDASIL. No further information is available.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=396027&WAYBACKHISTORY=ON


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