Write-up: Information has been received from a physician (Local reference # ISR-015-OCT11) who stated that there was a publication approximately two months ago (approximately in August 2011) on a journal concerning 4 patients who were vaccinated with a dose of GARDASIL (dose, route, lot # were not specified). Subsequently, on an unspecified date the patients died (cause of death was unspecified). The physician stated that it was reported on the journal that GARDASIL was withdrawn from the market due to the 4 cases of death. The physician also reported that he also obtained information from a website. Attempts are being made to obtain additional identifying information to distinguish the individual patients mentioned in this report. Additional information will be provided if available.