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This is VAERS ID 405381

History of Changes from the VAERS Wayback Machine

First Appeared on 11/3/2010

VAERS ID: 405381
VAERS Form:
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 6/14/2014

VAERS ID: 405381 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 4/14/2017

VAERS ID: 405381 Before After
VAERS Form:
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 9/14/2017

VAERS ID: 405381 Before After
VAERS Form:(blank) 1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 2/14/2018

VAERS ID: 405381 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 6/14/2018

VAERS ID: 405381 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 8/14/2018

VAERS ID: 405381 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 9/14/2018

VAERS ID: 405381 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.


Changed on 10/14/2018

VAERS ID: 405381 Before After
VAERS Form:1
Age:
Sex:Unknown
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2010-10-25
Entered:2010-10-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / IM

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': WAES1010PHL00038

Write-up: Information has been received from a physician concerning a friend of her patient who was vaccinated with GARDASIL. Subsequently the patient''s friend died. The cause of death was not reported. The patient decided to discontinue vaccination due to the incident. No further information is available. Attempts to confirm an identifiable patient had been unsuccessful.

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