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Administered by: Unknown Purchased by: Unknown
Life Threatening? Yes
Write-up: Information has been received from a physician concerning a 15 year old female patient with longstanding health problems (according to mother) since childhood who on 04-OCT-2010 was vaccinated IM with a second dose of GARDASIL (Lot# not reported). In September 2010, the patient experienced cough and was sick. On 07-OCT-2010, the patient experienced cough and haemoptysis. On 30-OCT-2010, the patient was diagnosed with kidney "problem" and heart "problem". The patient was admitted to hospital. The patient''s mother cannot recall treatment or hospital ID number and had not kept files. On 03-NOV-2010, the patient died. The cause of death was not reported. Cough, sickness, haemoptysis, kidney "problem" and heart "problem" were considered to be immediately life-threatening by the reporter.
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