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This is VAERS ID 449334

History of Changes from the VAERS Wayback Machine

First Appeared on 2/13/2012

VAERS ID: 449334
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 8/12/2013

VAERS ID: 449334 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00 2009-01-01
Onset:0000-00-00 2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:0000-00-00 2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 6/14/2014

VAERS ID: 449334 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 3/14/2015

VAERS ID: 449334 Before After
VAERS Form:
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 9/14/2017

VAERS ID: 449334 Before After
VAERS Form:(blank) 1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / - UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 2/14/2018

VAERS ID: 449334 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 6/14/2018

VAERS ID: 449334 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 8/14/2018

VAERS ID: 449334 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 9/14/2018

VAERS ID: 449334 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.


Changed on 10/14/2018

VAERS ID: 449334 Before After
VAERS Form:1
Age:19.0
Sex:Female
Location:Unknown
Vaccinated:2009-01-01
Onset:2011-08-27
Submitted:2012-02-09
Entered:2012-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. - / UNK UN / UN

Administered by: Other      Purchased by: Other
Symptoms: Amyotrophic lateral sclerosis, Death, Gene mutation identification test positive

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died:2011-08-27
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: Gene mutation
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: diagnostic laboratory, genetic mutation (FUS): positive
CDC 'Split Type': WAES1202USA00710

Write-up: Information has been received from a physician concerning a 19 year old female who on an unspecified date was vaccinated with a dose of GARDASIL (lot # not reported, dose number unknown). Approximately a year and a half prior to developing the onset of rapidly progressive ALS (amyotrophic lateral sclerosis). It was unknown if the patient was on any medications or had concomitant vaccinations. Patient died within a year of symptom onset. Patient was found to be positive for a genetic mutation (FUS) recently recognized as associated with early-onset, rapidly progressive ALS. Her parents also had the mutation. It was not reported if the patient had sought medical attention. This is one of several reports received from the same source. Additional information has been requested.

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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=449334&WAYBACKHISTORY=ON


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