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This is VAERS ID 425513

History of Changes from the VAERS Wayback Machine

First Appeared on 7/12/2011

VAERS ID: 425513
VAERS Form:
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 6/14/2014

VAERS ID: 425513 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 4/14/2017

VAERS ID: 425513 Before After
VAERS Form:
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 0 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 1 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 9/14/2017

VAERS ID: 425513 Before After
VAERS Form:(blank) 1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 0 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 1 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 2/14/2018

VAERS ID: 425513 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 6/14/2018

VAERS ID: 425513 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 8/14/2018

VAERS ID: 425513 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 9/14/2018

VAERS ID: 425513 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.


Changed on 10/14/2018

VAERS ID: 425513 Before After
VAERS Form:1
Age:18.0
Sex:Female
Location:Idaho
Vaccinated:2011-04-26
Onset:2011-04-28
Submitted:2011-04-29
Entered:2011-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0886Z / 1 LA / IM
VARCEL: VARICELLA (VARIVAX) / MERCK & CO. INC. 1492Z / 2 RA / IM

Administered by: Private      Purchased by: Private
Symptoms: Completed suicide, Death

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-04-28
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: ORTHO CYCLEN
Current Illness: (1) Depression/chronic; (2) ADHD; (3) acne severe
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: None known -suicidal ideation denied at visit 4/26 - known chronic depression she elected to stop her medications when she turned 18. Committed suicide 04/28/11. Hung herself.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=425513&WAYBACKHISTORY=ON


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