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This is VAERS ID 398755

History of Changes from the VAERS Wayback Machine

First Appeared on 9/22/2010

VAERS ID: 398755
VAERS Form:
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 6/14/2014

VAERS ID: 398755 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 4/14/2017

VAERS ID: 398755 Before After
VAERS Form:
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 9/14/2017

VAERS ID: 398755 Before After
VAERS Form:(blank) 1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 0 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 2/14/2018

VAERS ID: 398755 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 6/14/2018

VAERS ID: 398755 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 8/14/2018

VAERS ID: 398755 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 9/14/2018

VAERS ID: 398755 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.


Changed on 10/14/2018

VAERS ID: 398755 Before After
VAERS Form:1
Age:0.2
Sex:Female
Location:Foreign
Vaccinated:2010-09-01
Onset:2010-09-01
Submitted:2010-09-16
Entered:2010-09-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / 1 UN / IM

Administered by: Unknown      Purchased by: Unknown
Symptoms: Death, General physical health deterioration, Drug exposure via breast milk

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: None
Current Illness:
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type': WAES1009USA00625B1

Write-up: Information has been received from a physician for the pregnancy registry for GARDASIL, concerning a female who on 01-SEP-2010 was vaccinated with the first dose of GARDASIL (lot number not reported) intramuscularly while breastfed her baby was 40 day old (WAES 1009USA00625), it was reported that the mother''s and baby''s health were good (well controlled). On 02-SEP-2010, in the morning, the baby''s condition was still good but in the afternoon the condition suddenly drop. The family immediately took the baby to hospital and it did not help since the baby died shortly after that. The cause of death was not reported, it was also reported as "not recovered from death". No further information is available.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=398755&WAYBACKHISTORY=ON


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