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This is VAERS ID 424378

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2011

VAERS ID: 424378
VAERS Form:
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 6/14/2014

VAERS ID: 424378 Before After
VAERS Form:
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 4/14/2017

VAERS ID: 424378 Before After
VAERS Form:
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 9/14/2017

VAERS ID: 424378 Before After
VAERS Form:(blank) 1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 2/14/2018

VAERS ID: 424378 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 6/14/2018

VAERS ID: 424378 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 8/14/2018

VAERS ID: 424378 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 9/14/2018

VAERS ID: 424378 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.


Changed on 10/14/2018

VAERS ID: 424378 Before After
VAERS Form:1
Age:12.0
Sex:Female
Location:Foreign
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2011-05-31
Entered:2011-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

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': WAES1105USA03486

Write-up: Case reported by a consumer and retrieved from a website by a healthcare professional (specialist) who transmitted to agency on 18-May-2011. This case was not medically confirmed. The consumer published an open letter about vaccination on the website, a citizen''s association. This open letter was addressed to an Agency. A 12-year-old female patient was vaccinated with a dose of GARDASIL ( lot and batch number not reported) on a recent date in. It was reported that the patient deceased 2 days after the vaccination. Medical history: It was reported that the patient was in excellent condition before the vaccination. Following to the reporter, the GP had told the parents that the vaccine was very safe but that, unfortunately, the patient had reacted to it. Until now, no other source confirmed the case. The healthcare professional (specialist) wrote to the consumer for more information. Other business partner included E2011-03076. No further information is available.

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